Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $57.54	Professional		$21.88	$28.18	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $67.61	Professional		$44.67	$44.67	$67.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $69.18	Professional		$28.84	$57.54	$69.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $83.18 / $109.65	Professional		$75.86	$83.18	$109.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $44.67 / $67.61	Professional		$20.42	$44.67	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $81.28	Professional		$33.11	$53.70	$81.28