Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $204.17	Professional		$61.66	$81.28	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $95.50 / $199.53	Professional		$58.88	$95.50	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $363.08	Professional		$151.36	$190.55	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $257.04 / $363.08	Professional		$158.49	$257.04	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $199.53	Professional		$60.26	$100.00	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $239.88	Professional		$61.66	$158.49	$239.88