Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $158.49	Professional		$34.67	$45.71	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $239.88	Professional		$60.26	$120.23	$239.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $190.55	Professional		$141.25	$141.25	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $60.26 / $89.13	Professional		$29.51	$60.26	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $165.96	Professional		$51.29	$72.44	$165.96