Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $121.09 / $364.14	Professional		$62.57	$121.09	$364.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $197.97 / $291.12	Professional		$164.98	$197.97	$291.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.22 / $285.19 / $420.00	Professional		$164.22	$285.19	$420.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $255.00 / $483.14	Professional		$96.43	$255.00	$483.14
United Facility/Professional Professional Modifier Low / Median / High Price $104.88 / $251.90 / $380.02	Professional		$104.88	$251.90	$380.02