Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $144.38 / $144.38	Professional		$144.38	$144.38	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $31.89 / $31.89	Professional		$31.89	$31.89	$31.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $43.29 / $43.29	Professional		$43.29	$43.29	$43.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $148.75 / $217.77	Professional		$126.25	$148.75	$217.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $135.00 / $230.79	Professional		$43.29	$135.00	$230.79
United Facility/Professional Professional Modifier Low / Median / High Price $53.59 / $90.28 / $136.53	Professional		$53.59	$90.28	$136.53