Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $160.37 / $267.20	Professional		$118.82	$160.37	$267.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.14 / $264.02 / $876.87	Professional		$123.14	$264.02	$876.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.93 / $309.73 / $402.64	Professional		$200.93	$309.73	$402.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.85 / $472.80 / $701.32	Professional		$228.85	$472.80	$701.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.70 / $370.40 / $856.55	Professional		$173.70	$370.40	$856.55
United Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $340.54 / $615.90	Professional		$268.08	$340.54	$615.90