Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $104.71 / $251.19	Professional		$46.77	$104.71	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $457.09	Professional		$128.82	$218.78	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $223.87 / $478.63	Professional		$107.15	$223.87	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $549.54	Professional		$194.98	$309.03	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $245.47	Professional		$60.26	$104.71	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $245.47 / $489.78	Professional		$74.13	$245.47	$489.78