Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.41 / $390.24 / $390.24	Professional		$172.41	$390.24	$390.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $184.23 / $184.23	Professional		$184.23	$184.23	$184.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $116.49 / $116.49	Professional		$116.49	$116.49	$116.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $104.84 / $262.10	Professional		$104.84	$104.84	$262.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.23 / $184.23 / $184.23	Professional		$184.23	$184.23	$184.23
United Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $232.98 / $349.47	Professional		$168.91	$232.98	$349.47