Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $22.27 / $126.56	Professional		$14.02	$22.27	$126.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.35 / $57.20 / $84.44	Professional		$42.35	$57.20	$84.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $61.45 / $108.90	Professional		$36.40	$61.45	$108.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $62.90 / $136.37	Professional		$31.49	$62.90	$136.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $56.40 / $127.05	Professional		$29.45	$56.40	$127.05
United Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $67.54 / $148.59	Professional		$66.15	$67.54	$148.59