Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.87 / $213.89 / $235.12	Professional		$103.87	$213.89	$235.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $58.37 / $64.09	Professional		$58.37	$58.37	$64.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $143.19 / $274.75	Professional		$129.65	$143.19	$274.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $196.25 / $287.31	Professional		$65.54	$196.25	$287.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.37 / $197.50 / $284.89	Professional		$58.37	$197.50	$284.89
United Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $221.58 / $221.58	Professional		$221.58	$221.58	$221.58