Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $121.08 / $197.79	Professional		$86.86	$121.08	$197.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $93.64 / $299.45	Professional		$66.59	$93.64	$299.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $229.98 / $339.18	Professional		$153.86	$229.98	$339.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $175.50 / $356.40	Professional		$118.00	$175.50	$356.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.64 / $161.46 / $352.50	Professional		$93.64	$161.46	$352.50
United Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $226.82 / $254.84	Professional		$56.00	$226.82	$254.84