Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $82.39 / $144.03	Professional		$66.66	$82.39	$144.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $69.93 / $70.47	Professional		$69.93	$69.93	$70.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $228.03 / $255.13	Professional		$111.63	$228.03	$255.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $176.25 / $360.00	Professional		$106.94	$176.25	$360.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $167.32 / $381.15	Professional		$78.14	$167.32	$381.15
United Facility/Professional Professional Modifier Low / Median / High Price $198.48 / $232.72 / $292.89	Professional		$198.48	$232.72	$292.89