Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $115.57 / $115.57	Professional		$51.06	$115.57	$115.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $24.29 / $24.29	Professional		$24.29	$24.29	$24.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $72.30 / $152.25	Professional		$72.30	$72.30	$152.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $108.75 / $159.21	Professional		$29.23	$108.75	$159.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.29 / $107.50 / $140.60	Professional		$24.29	$107.50	$140.60
United Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $100.56 / $100.56	Professional		$100.56	$100.56	$100.56