Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $105.21 / $346.81	Professional		$105.21	$105.21	$346.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.56 / $180.56 / $187.13	Professional		$180.56	$180.56	$187.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $166.92 / $179.16	Professional		$87.40	$166.92	$179.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.00 / $244.35 / $314.76	Professional		$215.00	$244.35	$314.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $230.00 / $411.30	Professional		$87.40	$230.00	$411.30
United Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $144.76 / $217.90	Professional		$99.22	$144.76	$217.90