Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $61.66 / $87.10	Professional		$36.31	$61.66	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $131.83 / $154.88	Professional		$104.71	$131.83	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $134.90	Professional		$53.70	$87.10	$134.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $245.47	Professional		$125.89	$134.90	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $85.11 / $131.83	Professional		$44.67	$85.11	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $269.15	Professional		$79.43	$123.03	$269.15