Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $77.62	Professional		$28.84	$56.23	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $114.82 / $245.47	Professional		$52.48	$114.82	$245.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $3,467.37	Facility		$154.88	$154.88	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $154.88 / $288.40	Professional		$75.86	$154.88	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $79.43 / $138.04	Professional		$56.23	$79.43	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $144.54 / $309.03	Professional		$39.81	$144.54	$309.03