Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.58 / $38.72	Professional		$22.57	$22.58	$38.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $61.93 / $61.93	Professional		$61.93	$61.93	$61.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $52.41 / $56.25	Professional		$27.08	$52.41	$56.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $74.25 / $98.82	Professional		$67.50	$74.25	$98.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $71.25 / $132.53	Professional		$27.08	$71.25	$132.53
United Facility/Professional Professional Modifier Low / Median / High Price $30.77 / $49.54 / $74.73	Professional		$30.77	$49.54	$74.73