Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $23.33 / $38.02	Professional		$12.49	$23.33	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $84.63 / $116.06	Professional		$18.51	$84.63	$116.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $50.85 / $65.04	Professional		$26.83	$50.85	$65.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $41.30 / $82.45	Professional		$29.50	$41.30	$82.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.80 / $51.64 / $113.94	Professional		$20.80	$51.64	$113.94
United Facility/Professional Professional Modifier Low / Median / High Price $50.68 / $54.44 / $81.66	Professional		$50.68	$54.44	$81.66