Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $92.43 / $144.33	Professional		$85.80	$92.43	$144.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.44 / $60.98 / $126.55	Professional		$30.44	$60.98	$126.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.25 / $53.13 / $87.33	Professional		$41.25	$53.13	$87.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.45 / $73.95 / $164.70	Professional		$39.45	$73.95	$164.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $75.00 / $184.60	Professional		$31.36	$75.00	$184.60
United Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $101.24 / $122.42	Professional		$68.44	$101.24	$122.42