Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $64.57	Professional		$37.15	$47.86	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $63.10 / $169.82	Professional		$24.55	$63.10	$169.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $190.55	Professional		$87.10	$138.04	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $125.89 / $213.80	Professional		$52.48	$125.89	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $61.66 / $117.49	Professional		$24.55	$61.66	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $70.79 / $107.15	Professional		$3.55	$70.79	$107.15