Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $107.15	Professional		$36.31	$43.65	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $131.83	Professional		$38.90	$60.26	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $251.19	Professional		$107.15	$141.25	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $218.78	Professional		$79.43	$169.82	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $131.83	Professional		$37.15	$67.61	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $79.43 / $128.82	Professional		$31.62	$79.43	$128.82