Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.50 / $229.50 / $229.50	Facility	26	$229.50	$229.50	$229.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $259.69 / $1,103.04	Professional		$217.47	$259.69	$1,103.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $655.12 / $655.12 / $655.12	Professional		$655.12	$655.12	$655.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.18 / $1,304.09 / $1,687.34	Professional		$502.18	$1,304.09	$1,687.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $922.05 / $1,223.34	Professional		$776.25	$922.05	$1,223.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.27 / $906.00 / $1,268.86	Professional		$270.27	$906.00	$1,268.86
United Facility/Professional Professional Modifier Low / Median / High Price $469.38 / $786.15 / $1,079.57	Professional		$469.38	$786.15	$1,079.57