Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.22 / $71.48 / $101.17	Professional		$67.22	$71.48	$101.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $58.86 / $155.08	Professional		$39.78	$58.86	$155.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.77 / $172.74 / $186.24	Professional		$88.77	$172.74	$186.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $98.00 / $230.85	Professional		$73.50	$98.00	$230.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.39 / $80.84 / $204.00	Professional		$56.39	$80.84	$204.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $109.42 / $139.19	Professional		$34.11	$109.42	$139.19