Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.99 / $278.38 / $278.38	Professional		$122.99	$278.38	$278.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $106.81 / $113.26	Professional		$106.81	$106.81	$113.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.58 / $168.58 / $315.00	Professional		$168.58	$168.58	$315.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $225.00 / $329.40	Professional		$118.82	$225.00	$329.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.81 / $226.25 / $342.25	Professional		$106.81	$226.25	$342.25
United Facility/Professional Professional Modifier Low / Median / High Price $268.17 / $268.17 / $268.17	Professional		$268.17	$268.17	$268.17