Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $96.55 / $168.31	Professional		$17.23	$96.55	$168.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.23 / $78.06 / $150.93	Professional		$49.23	$78.06	$150.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $96.25 / $200.85	Professional		$45.98	$96.25	$200.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $110.00 / $188.00	Professional		$68.75	$110.00	$188.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $107.25 / $183.30	Professional		$46.08	$107.25	$183.30
United Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $158.87 / $199.72	Professional		$89.35	$158.87	$199.72