Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $67.87 / $100.58	Professional		$29.98	$67.87	$100.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $31.93 / $31.93	Professional		$31.93	$31.93	$31.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $20.26 / $20.26	Professional		$20.26	$20.26	$20.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $18.23 / $45.59	Professional		$18.23	$18.23	$45.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $31.93 / $31.93	Professional		$31.93	$31.93	$31.93
United Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $60.78 / $60.78	Professional		$60.78	$60.78	$60.78