Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $140.66 / $152.13	Professional		$52.00	$140.66	$152.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $79.28 / $79.28	Professional		$79.28	$79.28	$79.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $174.35 / $206.05	Professional		$71.98	$174.35	$206.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $129.05 / $166.50	Professional		$111.25	$129.05	$166.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.62 / $118.50 / $173.66	Professional		$29.62	$118.50	$173.66
United Facility/Professional Professional Modifier Low / Median / High Price $60.82 / $95.13 / $143.26	Professional		$60.82	$95.13	$143.26