Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $72.59 / $130.38	Professional		$42.79	$72.59	$130.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $95.72 / $184.36	Professional		$68.39	$95.72	$184.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $127.55 / $199.89 / $216.55	Professional		$127.55	$199.89	$216.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $126.99 / $298.70	Professional		$79.18	$126.99	$298.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $126.99 / $282.00	Professional		$69.34	$126.99	$282.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.46 / $147.50 / $222.52	Professional		$122.46	$147.50	$222.52