Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $86.64 / $193.35	Professional		$76.31	$86.64	$193.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.47 / $233.47 / $326.41	Professional		$233.47	$233.47	$326.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.55 / $240.66 / $385.56	Professional		$200.55	$240.66	$385.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $332.10 / $453.84	Professional		$125.50	$332.10	$453.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $204.44 / $376.50	Professional		$99.25	$204.44	$376.50
United Facility/Professional Professional Modifier Low / Median / High Price $211.36 / $261.14 / $522.28	Professional		$211.36	$261.14	$522.28