Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $33.18 / $184.49	Professional		$20.80	$33.18	$184.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.44 / $86.10 / $125.44	Professional		$63.44	$86.10	$125.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $89.75 / $162.97	Professional		$55.00	$89.75	$162.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $91.80 / $198.14	Professional		$47.57	$91.80	$198.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $85.20 / $184.80	Professional		$42.46	$85.20	$184.80
United Facility/Professional Professional Modifier Low / Median / High Price $96.22 / $100.36 / $348.75	Professional		$96.22	$100.36	$348.75