Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $132.16 / $249.71	Professional		$132.16	$132.16	$249.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.52 / $129.52 / $140.07	Professional		$129.52	$129.52	$140.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $120.33 / $217.00	Professional		$59.38	$120.33	$217.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $170.10 / $226.92	Professional		$155.00	$170.10	$226.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $157.50 / $290.20	Professional		$59.38	$157.50	$290.20
United Facility/Professional Professional Modifier Low / Median / High Price $112.06 / $115.04 / $255.75	Professional		$112.06	$115.04	$255.75