Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $24.55 / $51.29	Professional		$18.20	$24.55	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $31.62	Professional		$27.54	$27.54	$31.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $54.95 / $95.50	Professional		$21.38	$54.95	$95.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $97.72 / $120.23	Professional		$30.90	$97.72	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $19.95	Facility		$16.98	$16.98	$19.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $31.62	Professional		$27.54	$27.54	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $63.10 / $109.65	Professional		$23.44	$63.10	$109.65