Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $61.58 / $99.29	Professional		$40.29	$61.58	$99.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $45.32 / $135.56	Professional		$31.20	$45.32	$135.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $106.74 / $165.00	Professional		$71.45	$106.74	$165.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $81.75 / $178.20	Professional		$55.00	$81.75	$178.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $75.44 / $180.60	Professional		$43.20	$75.44	$180.60
United Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $115.13 / $124.84	Professional		$42.70	$115.13	$124.84