Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $208.93	Professional		$43.65	$43.65	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $251.19	Professional		$83.18	$83.18	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $257.04	Professional		$194.98	$194.98	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $208.93	Professional		$100.00	$151.36	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $147.91	Professional		$83.18	$83.18	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $181.97	Professional		$45.71	$47.86	$181.97