Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $151.36	Professional		$39.81	$64.57	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $199.53	Professional		$112.20	$144.54	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $323.59	Professional		$134.90	$151.36	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $338.84	Professional		$190.55	$213.80	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $112.20 / $147.91	Professional		$51.29	$112.20	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $281.84	Professional		$125.89	$138.04	$281.84