Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.34 / $79.81 / $79.81	Professional		$24.34	$79.81	$79.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $84.66 / $117.60	Professional		$35.09	$84.66	$117.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $112.24 / $137.46	Professional		$57.81	$112.24	$137.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $79.30 / $146.40	Professional		$50.06	$79.30	$146.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $79.98 / $118.46	Professional		$39.83	$79.98	$118.46
United Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $109.16 / $152.82	Professional		$105.68	$109.16	$152.82