Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $138.04 / $338.84	Professional		$114.82	$138.04	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $263.03	Professional		$120.23	$158.49	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $549.54	Professional		$173.78	$338.84	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $363.08 / $549.54	Professional		$199.53	$363.08	$549.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $162.18 / $302.00	Professional		$60.26	$162.18	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $346.74 / $602.56	Professional		$123.03	$346.74	$602.56