Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $21.45 / $40.54	Professional		$20.94	$21.45	$40.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $38.68 / $64.95	Professional		$38.68	$38.68	$64.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $55.32 / $59.38	Professional		$28.03	$55.32	$59.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $79.65 / $115.00	Professional		$71.25	$79.65	$115.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $88.50 / $134.82	Professional		$28.03	$88.50	$134.82
United Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $51.84 / $78.39	Professional		$30.77	$51.84	$78.39