Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.22 / $38.00 / $67.69	Professional		$25.22	$38.00	$67.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $81.06 / $117.60	Professional		$36.40	$81.06	$117.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.28 / $108.81 / $171.06	Professional		$53.28	$108.81	$171.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $115.00 / $184.00	Professional		$59.15	$115.00	$184.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.70 / $89.33 / $163.50	Professional		$43.70	$89.33	$163.50
United Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $72.59 / $153.66	Professional		$26.53	$72.59	$153.66