Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.64 / $90.38 / $278.77	Professional		$63.64	$90.38	$278.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.45 / $115.05 / $409.63	Professional		$59.45	$115.05	$409.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $176.61 / $318.50	Professional		$141.91	$176.61	$318.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $257.85 / $366.68	Professional		$160.16	$257.85	$366.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $230.40 / $379.04	Professional		$82.83	$230.40	$379.04
United Facility/Professional Professional Modifier Low / Median / High Price $110.89 / $159.08 / $242.06	Professional		$110.89	$159.08	$242.06