Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $96.66 / $139.08	Professional		$83.77	$96.66	$139.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $61.79 / $213.52	Professional		$55.63	$61.79	$213.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.55 / $215.43 / $231.93	Professional		$110.55	$215.43	$231.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $111.00 / $299.70	Professional		$93.80	$111.00	$299.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.11 / $103.50 / $276.00	Professional		$73.11	$103.50	$276.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.25 / $147.35 / $165.01	Professional		$26.25	$147.35	$165.01