Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.47 / $106.18 / $106.18	Professional		$40.47	$106.18	$106.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $50.99 / $171.17	Professional		$41.20	$50.99	$171.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $130.22 / $161.66	Professional		$69.83	$130.22	$161.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $117.03 / $239.24	Professional		$73.50	$117.03	$239.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $102.90 / $220.50	Professional		$65.25	$102.90	$220.50
United Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $136.94 / $239.65	Professional		$114.77	$136.94	$239.65