Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.54 / $84.99 / $84.99	Professional		$37.54	$84.99	$84.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Professional		$33.97	$33.97	$33.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $25.37	Professional		$25.37	$25.37	$25.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $22.83 / $57.08	Professional		$22.83	$22.83	$57.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $33.97 / $33.97	Professional		$33.97	$33.97	$33.97
United Facility/Professional Professional Modifier Low / Median / High Price $76.11 / $76.11 / $76.11	Professional		$76.11	$76.11	$76.11