Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.92 / $63.51 / $145.66	Professional		$60.92	$63.51	$145.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $110.14 / $117.35	Professional		$110.14	$110.14	$117.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $101.88 / $109.35	Professional		$52.25	$101.88	$109.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.25 / $148.50 / $270.00	Professional		$131.25	$148.50	$270.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.25 / $166.50 / $299.33	Professional		$52.25	$166.50	$299.33
United Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $93.88 / $141.63	Professional		$80.65	$93.88	$141.63