Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $64.33 / $150.75	Professional		$62.45	$64.33	$150.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.87 / $101.87 / $111.77	Professional		$101.87	$101.87	$111.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $90.24 / $96.86	Professional		$50.83	$90.24	$96.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $130.94 / $350.00	Professional		$116.25	$130.94	$350.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $133.75 / $314.16	Professional		$50.83	$133.75	$314.16
United Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $84.37 / $122.95	Professional		$81.50	$84.37	$122.95