Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $89.13	Professional		$26.92	$36.31	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $40.74 / $85.11	Professional		$26.30	$40.74	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $87.10 / $158.49	Professional		$52.48	$87.10	$158.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $169.82	Professional		$72.44	$112.20	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $56.23 / $85.11	Professional		$28.84	$56.23	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $72.44 / $109.65	Professional		$26.92	$72.44	$109.65