Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $114.51 / $324.06	Professional		$65.41	$114.51	$324.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $130.41 / $550.92	Professional		$71.88	$130.41	$550.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.38 / $170.63 / $221.81	Professional		$112.38	$170.63	$221.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $273.89 / $434.85	Professional		$136.32	$273.89	$434.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $232.20 / $503.10	Professional		$99.22	$232.20	$503.10
United Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $213.96 / $320.94	Professional		$161.82	$213.96	$320.94