Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $24.03 / $51.00	Professional		$22.82	$24.03	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $40.63 / $63.14	Professional		$36.60	$40.63	$63.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $72.78 / $75.00	Professional		$54.59	$72.78	$75.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $91.50 / $108.75	Professional		$49.70	$91.50	$108.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $70.81 / $134.82	Professional		$28.98	$70.81	$134.82
United Facility/Professional Professional Modifier Low / Median / High Price $23.94 / $50.50 / $76.18	Professional		$23.94	$50.50	$76.18