Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $72.47 / $103.65	Professional		$49.54	$72.47	$103.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $56.24 / $56.24	Professional		$56.24	$56.24	$56.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $183.39 / $215.61	Professional		$154.52	$183.39	$215.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $117.00 / $257.85	Professional		$85.80	$117.00	$257.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $92.50 / $234.00	Professional		$56.24	$92.50	$234.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $134.86 / $162.40	Professional		$41.63	$134.86	$162.40