Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $273.20 / $344.71	Professional		$273.20	$273.20	$344.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $71.50 / $206.78	Professional		$71.50	$71.50	$206.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $167.45 / $327.25	Professional		$115.65	$167.45	$327.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $234.60 / $319.50	Professional		$176.25	$234.60	$319.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $234.60 / $329.30	Professional		$66.98	$234.60	$329.30
United Facility/Professional Professional Modifier Low / Median / High Price $76.94 / $165.42 / $500.92	Professional		$76.94	$165.42	$500.92