Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $156.47 / $164.61	Professional		$156.41	$156.47	$164.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.84 / $95.84 / $99.88	Professional		$95.84	$95.84	$99.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $84.42 / $152.25	Professional		$65.50	$84.42	$152.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.45 / $159.21	Professional		$100.00	$117.45	$159.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $133.65 / $182.80	Professional		$35.00	$133.65	$182.80
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $79.90 / $241.95	Professional		$35.54	$79.90	$241.95