Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.32 / $111.74 / $273.12	Professional		$100.32	$111.74	$273.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $178.85 / $613.26	Professional		$94.83	$178.85	$613.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.78 / $283.35 / $507.74	Professional		$222.78	$283.35	$507.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.83 / $413.10 / $585.00	Professional		$257.83	$413.10	$585.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.32 / $360.00 / $592.09	Professional		$126.32	$360.00	$592.09
United Facility/Professional Professional Modifier Low / Median / High Price $126.79 / $243.60 / $357.24	Professional		$126.79	$243.60	$357.24