Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20
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 $10.96 / $53.70 / $81.28	Professional		$10.96	$53.70	$81.28