Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $131.83	Professional		$58.88	$70.79	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $190.55 / $323.59	Professional		$100.00	$190.55	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $389.05	Professional		$162.18	$288.40	$389.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $95.50	Professional		$58.88	$67.61	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $181.97 / $398.11	Professional		$72.44	$181.97	$398.11