Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $106.41 / $153.13	Professional		$101.24	$106.41	$153.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $81.11 / $199.86	Professional		$55.91	$81.11	$199.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.78 / $260.07 / $280.64	Professional		$133.78	$260.07	$280.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $135.10 / $351.00	Professional		$103.50	$135.10	$351.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $120.45 / $310.50	Professional		$88.40	$120.45	$310.50
United Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $166.38 / $210.49	Professional		$35.35	$166.38	$210.49