Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.59 / $89.52 / $196.03	Professional		$72.59	$89.52	$196.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $135.33 / $471.96	Professional		$66.84	$135.33	$471.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $198.93 / $358.75	Professional		$158.88	$198.93	$358.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.10 / $290.25 / $420.08	Professional		$191.10	$290.25	$420.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.66 / $250.16 / $442.65	Professional		$88.66	$250.16	$442.65
United Facility/Professional Professional Modifier Low / Median / High Price $147.50 / $183.28 / $274.92	Professional		$147.50	$183.28	$274.92