Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $129.63 / $224.60	Professional		$102.95	$129.63	$224.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.51 / $109.51 / $110.25	Professional		$109.51	$109.51	$110.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.95 / $357.12 / $394.30	Professional		$171.95	$357.12	$394.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.18 / $271.50 / $555.00	Professional		$168.18	$271.50	$555.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.38 / $253.40 / $596.16	Professional		$120.38	$253.40	$596.16
United Facility/Professional Professional Modifier Low / Median / High Price $314.47 / $355.26 / $447.11	Professional		$314.47	$355.26	$447.11