Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $67.65 / $92.97	Professional		$41.96	$67.65	$92.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $82.83 / $296.64	Professional		$42.46	$82.83	$296.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $113.80 / $145.08	Professional		$63.84	$113.80	$145.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.00 / $162.00 / $252.54	Professional		$76.00	$162.00	$252.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $121.60 / $281.20	Professional		$61.68	$121.60	$281.20
United Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $115.20 / $195.84	Professional		$97.10	$115.20	$195.84