Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $81.19 / $179.60	Professional		$77.81	$81.19	$179.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $144.22 / $206.92	Professional		$144.22	$144.22	$206.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $173.70 / $186.44	Professional		$95.95	$173.70	$186.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $253.80 / $475.00	Professional		$223.75	$253.80	$475.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $252.50 / $475.00	Professional		$95.95	$252.50	$475.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $165.54 / $249.73	Professional		$102.94	$165.54	$249.73