Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $161.22 / $161.22	Professional		$71.22	$161.22	$161.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $85.64 / $91.25	Professional		$85.64	$85.64	$91.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $100.23 / $185.50	Professional		$100.23	$100.23	$185.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.30 / $132.50 / $193.98	Professional		$94.30	$132.50	$193.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.64 / $131.25 / $247.90	Professional		$85.64	$131.25	$247.90
United Facility/Professional Professional Modifier Low / Median / High Price $160.08 / $160.08 / $160.08	Professional		$160.08	$160.08	$160.08