Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.58 / $84.94 / $184.53	Professional		$61.58	$84.94	$184.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.89 / $110.43 / $201.77	Professional		$63.89	$110.43	$201.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $255.21 / $411.19	Professional		$120.80	$255.21	$411.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.20 / $246.96 / $412.00	Professional		$122.20	$246.96	$412.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.95 / $182.70 / $375.55	Professional		$93.95	$182.70	$375.55
United Facility/Professional Professional Modifier Low / Median / High Price $83.02 / $173.12 / $383.37	Professional		$83.02	$173.12	$383.37