Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $56.48 / $108.13	Professional		$42.60	$56.48	$108.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $87.98 / $203.94	Professional		$49.47	$87.98	$203.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $144.60 / $167.98	Professional		$82.35	$144.60	$167.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $119.70 / $243.00	Professional		$77.23	$119.70	$243.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $114.57 / $249.00	Professional		$68.84	$114.57	$249.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.08 / $170.42 / $340.84	Professional		$152.08	$170.42	$340.84