Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $102.17 / $228.02	Professional		$89.41	$102.17	$228.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $126.28 / $367.99	Professional		$94.80	$126.28	$367.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $279.39 / $324.88	Professional		$148.19	$279.39	$324.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $233.00 / $446.60	Professional		$140.30	$233.00	$446.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.88 / $202.62 / $457.50	Professional		$119.88	$202.62	$457.50
United Facility/Professional Professional Modifier Low / Median / High Price $262.06 / $294.39 / $500.79	Professional		$262.06	$294.39	$500.79