Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $64.57	Professional		$28.84	$33.88	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $42.66 / $93.33	Professional		$27.54	$42.66	$93.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $83.18 / $134.90	Professional		$38.02	$83.18	$134.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $151.36	Professional		$53.70	$104.71	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $93.33	Professional		$28.84	$41.69	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $74.13 / $112.20	Professional		$30.20	$74.13	$112.20