Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $481.56 / $481.56	Professional		$212.75	$481.56	$481.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $199.79 / $199.79	Professional		$199.79	$199.79	$199.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $143.75 / $143.75	Professional		$143.75	$143.75	$143.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $129.38 / $323.44	Professional		$129.38	$129.38	$323.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.79 / $199.79 / $199.79	Professional		$199.79	$199.79	$199.79
United Facility/Professional Professional Modifier Low / Median / High Price $208.44 / $208.44 / $431.25	Professional		$208.44	$208.44	$431.25