Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $173.78 / $186.21	Professional		$72.44	$173.78	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $117.49	Professional		$109.65	$109.65	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $218.78 / $389.05	Professional		$77.62	$218.78	$389.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $389.05 / $489.78	Professional		$123.03	$389.05	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Facility		$69.18	$69.18	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $117.49	Professional		$109.65	$109.65	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $407.38	Professional		$95.50	$257.04	$407.38