Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $102.33	Professional		$38.90	$51.29	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $64.57	Professional		$58.88	$58.88	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $114.82 / $204.17	Professional		$42.66	$114.82	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $208.93 / $257.04	Professional		$66.07	$208.93	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $39.81	Facility		$36.31	$36.31	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $64.57	Professional		$58.88	$58.88	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $134.90 / $223.87	Professional		$50.12	$134.90	$223.87