Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.64 / $144.55 / $264.18	Professional		$109.64	$144.55	$264.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.63 / $164.02 / $808.69	Professional		$110.63	$164.02	$808.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.58 / $287.08 / $373.20	Professional		$169.58	$287.08	$373.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.60 / $420.00 / $649.65	Professional		$181.60	$420.00	$649.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $300.43 / $682.50	Professional		$146.58	$300.43	$682.50
United Facility/Professional Professional Modifier Low / Median / High Price $169.79 / $314.06 / $533.90	Professional		$169.79	$314.06	$533.90