Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $89.54 / $134.16	Professional		$65.83	$89.54	$134.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $103.00 / $182.31	Professional		$65.00	$103.00	$182.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $248.25 / $313.35	Professional		$141.55	$248.25	$313.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.21 / $170.50 / $386.25	Professional		$119.21	$170.50	$386.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $160.16 / $312.00	Professional		$95.13	$160.16	$312.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $305.95 / $611.91	Professional		$264.62	$305.95	$611.91