Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $23.74 / $35.76	Professional		$17.59	$23.74	$35.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.13 / $50.65 / $82.75	Professional		$19.13	$50.65	$82.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $59.10 / $92.27	Professional		$32.57	$59.10	$92.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.05 / $173.25	Professional		$50.00	$85.05	$173.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $26.38 / $71.02 / $172.05	Professional		$26.38	$71.02	$172.05
United Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $66.31 / $143.18	Professional		$26.68	$66.31	$143.18