Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $60.95 / $92.40	Professional		$51.07	$60.95	$92.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $88.62 / $150.32	Professional		$42.50	$88.62	$150.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.53 / $125.15 / $196.99	Professional		$69.53	$125.15	$196.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $179.55 / $286.58	Professional		$91.37	$179.55	$286.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.71 / $144.90 / $297.85	Professional		$56.71	$144.90	$297.85
United Facility/Professional Professional Modifier Low / Median / High Price $94.32 / $129.60 / $163.11	Professional		$94.32	$129.60	$163.11