Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $63.59 / $63.59	Professional		$21.15	$63.59	$63.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $84.66 / $116.06	Professional		$19.21	$84.66	$116.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $87.83 / $111.44	Professional		$49.03	$87.83	$111.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $66.78 / $122.20	Professional		$47.00	$66.78	$122.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $69.94 / $117.60	Professional		$34.90	$69.94	$117.60
United Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $88.08 / $132.12	Professional		$88.08	$88.08	$132.12