Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $104.71	Professional		$40.74	$52.48	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $117.49	Professional		$109.65	$109.65	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $93.33 / $120.23	Professional		$60.26	$93.33	$120.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $190.55	Professional		$138.04	$147.91	$190.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $117.49	Professional		$36.31	$60.26	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $141.25	Professional		$81.28	$93.33	$141.25