Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $31.73 / $129.28	Professional		$22.01	$31.73	$129.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $70.20	Professional		$70.20	$70.20	$70.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $160.71 / $189.93	Professional		$67.13	$160.71	$189.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.75 / $120.35 / $151.88	Professional		$103.75	$120.35	$151.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.31 / $105.00 / $155.38	Professional		$27.31	$105.00	$155.38
United Facility/Professional Professional Modifier Low / Median / High Price $54.40 / $84.24 / $126.86	Professional		$54.40	$84.24	$126.86