Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $35.40 / $49.19	Professional		$23.88	$35.40	$49.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $37.84 / $152.91	Professional		$21.79	$37.84	$152.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $63.88 / $83.04	Professional		$33.72	$63.88	$83.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.02 / $81.59 / $134.55	Professional		$37.02	$81.59	$134.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $62.10 / $134.55	Professional		$32.35	$62.10	$134.55
United Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $59.38 / $89.58	Professional		$53.59	$59.38	$89.58