Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $173.78	Professional		$64.57	$87.10	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $134.90 / $223.87	Professional		$67.61	$134.90	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $316.23	Professional		$147.91	$208.93	$316.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $389.05	Professional		$234.42	$288.40	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $134.90 / $218.78	Professional		$70.79	$134.90	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $354.81	Professional		$151.36	$177.83	$354.81