Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $190.55	Professional		$83.18	$120.23	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $354.81	Professional		$165.96	$165.96	$354.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $288.40 / $389.05	Professional		$112.20	$288.40	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $158.49 / $234.42	Professional		$66.07	$158.49	$234.42