Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $293.76 / $293.76	Professional		$68.84	$293.76	$293.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $128.12 / $380.81	Professional		$101.15	$128.12	$380.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.87 / $368.65 / $444.31	Professional		$186.87	$368.65	$444.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.20 / $258.39 / $597.54	Professional		$167.20	$258.39	$597.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.55 / $226.10 / $588.00	Professional		$143.55	$226.10	$588.00
United Facility/Professional Professional Modifier Low / Median / High Price $274.18 / $304.64 / $609.28	Professional		$274.18	$304.64	$609.28