Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.83 / $169.38 / $169.38	Professional		$74.83	$169.38	$169.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $50.56 / $50.56	Professional		$50.56	$50.56	$50.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $45.50 / $113.76	Professional		$45.50	$45.50	$113.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
United Facility/Professional Professional Modifier Low / Median / High Price $151.68 / $151.68 / $151.68	Professional		$151.68	$151.68	$151.68