Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.90 / $57.54	Professional		$22.91	$38.90	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $707.95	Professional		$41.69	$41.69	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $245.47	Professional		$104.71	$123.03	$245.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $251.19	Professional		$125.89	$177.83	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $112.20	Professional		$42.66	$72.44	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $218.78	Professional		$77.62	$114.82	$218.78