Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $188.21 / $230.17	Professional		$103.77	$188.21	$230.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.52 / $180.21 / $282.02	Professional		$168.52	$180.21	$282.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $216.88 / $289.17 / $298.00	Professional		$216.88	$289.17	$298.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.98 / $402.30 / $432.10	Professional		$218.98	$402.30	$432.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $299.25 / $619.24	Professional		$130.44	$299.25	$619.24
United Facility/Professional Professional Modifier Low / Median / High Price $104.53 / $225.62 / $340.37	Professional		$104.53	$225.62	$340.37