Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $20.42	Professional		$16.60	$16.60	$20.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $31.62	Professional		$22.39	$22.39	$31.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $134.90	Professional		$70.79	$100.00	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $31.62	Professional		$22.39	$22.39	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $53.70 / $81.28	Professional		$10.00	$53.70	$81.28