Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $37.20 / $165.24	Professional		$34.90	$37.20	$165.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.71 / $63.71 / $93.48	Professional		$63.71	$63.71	$93.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $79.56 / $85.39	Professional		$41.80	$79.56	$85.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.50 / $114.75 / $262.50	Professional		$102.50	$114.75	$262.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $110.00 / $211.82	Professional		$41.80	$110.00	$211.82
United Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $76.22 / $112.81	Professional		$53.06	$76.22	$112.81