Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $26.73 / $47.84	Professional		$21.40	$26.73	$47.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $23.21 / $23.21	Professional		$23.21	$23.21	$23.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $75.69 / $120.89	Professional		$63.08	$75.69	$120.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.70 / $97.50 / $139.22	Professional		$49.70	$97.50	$139.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $65.43 / $128.69	Professional		$25.05	$65.43	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $72.52 / $145.04	Professional		$65.98	$72.52	$145.04