Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.49 / $173.53 / $173.53	Facility	26	$84.49	$173.53	$173.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.64 / $91.49 / $286.18	Professional		$43.64	$91.49	$286.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.62 / $54.69 / $148.60	Professional	26	$26.62	$54.69	$148.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $151.51 / $151.51	Professional		$151.51	$151.51	$151.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.01 / $87.01 / $98.46	Professional	26	$87.01	$87.01	$98.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $222.00 / $315.81	Professional		$65.08	$222.00	$315.81
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $106.65 / $233.94	Professional	26	$70.34	$106.65	$233.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.40 / $214.60 / $305.51	Professional		$155.40	$214.60	$305.51
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.35 / $126.15 / $189.20	Professional	26	$91.35	$126.15	$189.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $185.00 / $315.33	Professional		$65.08	$185.00	$315.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $105.00 / $141.90 / $196.51	Professional	26	$105.00	$141.90	$196.51
United Facility/Professional Professional Modifier Low / Median / High Price $121.20 / $121.78 / $338.62	Professional		$121.20	$121.78	$338.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $73.88 / $80.23 / $196.90	Professional	26	$73.88	$80.23	$196.90