Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $261.05 / $261.05 / $261.05	Facility	26	$261.05	$261.05	$261.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.81 / $389.43 / $1,798.13	Professional		$236.81	$389.43	$1,798.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.15 / $975.15 / $1,107.03	Professional		$975.15	$975.15	$1,107.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $915.17 / $1,147.02 / $2,245.80	Professional		$915.17	$1,147.02	$2,245.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.62 / $1,477.50 / $2,163.06	Professional		$526.62	$1,477.50	$2,163.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $435.58 / $1,073.31 / $1,870.68	Professional		$435.58	$1,073.31	$1,870.68
United Facility/Professional Professional Modifier Low / Median / High Price $661.06 / $885.62 / $1,328.43	Professional		$661.06	$885.62	$1,328.43