Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.49 / $141.44 / $141.44	Professional		$62.49	$141.44	$141.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $16.79 / $16.79	Professional		$16.79	$16.79	$16.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $42.22 / $42.22	Professional		$42.22	$42.22	$42.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $38.00 / $95.00	Professional		$38.00	$38.00	$95.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $16.79 / $16.79	Professional		$16.79	$16.79	$16.79
United Facility/Professional Professional Modifier Low / Median / High Price $126.66 / $126.66 / $126.66	Professional		$126.66	$126.66	$126.66