Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.17 / $131.22 / $303.42	Professional		$79.17	$131.22	$303.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.96 / $134.32 / $193.86	Professional		$109.96	$134.32	$193.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $193.11 / $199.00	Professional		$144.83	$193.11	$199.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.78 / $268.64 / $288.55	Professional		$152.78	$268.64	$288.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $211.47 / $404.45	Professional		$86.45	$211.47	$404.45
United Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $155.08 / $233.95	Professional		$73.34	$155.08	$233.95