Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $91.20	Professional		$28.18	$38.90	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $75.86 / $114.82	Professional		$32.36	$75.86	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $147.91	Professional		$70.79	$91.20	$147.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $181.97	Professional		$95.50	$131.83	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $64.57 / $87.10	Professional		$32.36	$64.57	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $95.50 / $199.53	Professional		$56.23	$95.50	$199.53