Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $245.47	Professional		$58.88	$89.13	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $223.87	Professional		$109.65	$109.65	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $229.09 / $295.12	Professional		$75.86	$229.09	$295.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $363.08 / $691.83	Professional		$338.84	$363.08	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $223.87	Professional		$60.26	$107.15	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $269.15 / $1,023.29	Professional		$117.49	$269.15	$1,023.29