Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $6,606.93 / $16,595.87	Facility		$1,071.52	$6,606.93	$16,595.87
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	26	$389.05	$389.05	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $1,659.59	Professional		$389.05	$478.63	$1,659.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $162.18 / $602.56	Professional	26	$117.49	$162.18	$602.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $234.42 / $316.23 / $1,047.13	Professional	TC	$234.42	$316.23	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $380.19 / $380.19 / $446.68	Professional	26	$380.19	$380.19	$446.68
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $537.03 / $537.03 / $707.95	Professional	TC	$537.03	$537.03	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $537.03 / $2,290.87	Facility		$380.19	$537.03	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,071.52 / $2,398.83	Professional		$407.38	$1,071.52	$2,398.83
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $380.19 / $912.01	Professional	26	$177.83	$380.19	$912.01
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $691.83 / $1,513.56	Professional	TC	$380.19	$691.83	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $2,137.96	Professional		$1,445.44	$1,548.82	$2,137.96
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $501.19 / $501.19 / $776.25	Professional	26	$501.19	$501.19	$776.25
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $954.99 / $1,047.13 / $1,348.96	Professional	TC	$954.99	$1,047.13	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,659.59 / $2,344.23	Facility		$537.03	$1,659.59	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,148.15	Professional		$338.84	$489.78	$1,148.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $173.78 / $446.68	Professional	26	$120.23	$173.78	$446.68
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $309.03 / $707.95	Professional	TC	$218.78	$309.03	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $912.01 / $1,949.84	Professional		$467.74	$912.01	$1,949.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $190.55 / $354.81 / $812.83	Professional	26	$190.55	$354.81	$812.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $562.34 / $1,122.02	Professional	TC	$275.42	$562.34	$1,122.02