Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.13 / $103.00 / $260.63	Professional		$68.13	$103.00	$260.63
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.07 / $47.73 / $81.19	Professional	52	$34.07	$47.73	$81.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $121.34 / $465.44	Professional		$63.42	$121.34	$465.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $185.14 / $230.23	Professional		$95.48	$185.14	$230.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.89 / $247.20 / $400.77	Professional		$112.89	$247.20	$400.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.48 / $191.90 / $404.00	Professional		$95.48	$191.90	$404.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.38 / $180.76 / $326.92	Professional		$145.38	$180.76	$326.92