Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $56.75 / $113.70	Professional		$53.21	$56.75	$113.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.32 / $86.59 / $173.38	Professional		$51.32	$86.59	$173.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $163.02 / $277.61	Professional		$77.16	$163.02	$277.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $197.50 / $307.44	Professional		$100.80	$197.50	$307.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $145.80 / $296.00	Professional		$65.70	$145.80	$296.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $140.91 / $390.56	Professional		$57.06	$140.91	$390.56