Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $112.20 / $162.18	Professional		$81.28	$112.20	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $158.49 / $977.24	Professional		$60.26	$158.49	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $363.08 / $446.68	Professional		$144.54	$363.08	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $169.82 / $181.97	Facility		$64.57	$169.82	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $239.88 / $363.08	Professional		$89.13	$239.88	$363.08