Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.37 / $128.37 / $128.37	Facility	26	$128.37	$128.37	$128.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.43 / $372.19 / $418.27	Professional		$96.43	$372.19	$418.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.04 / $212.07 / $229.33	Professional	26	$45.04	$212.07	$229.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.79 / $247.79 / $247.79	Professional		$247.79	$247.79	$247.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.26 / $129.26 / $149.35	Professional	26	$129.26	$129.26	$149.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.30 / $535.42 / $632.78	Professional		$214.30	$535.42	$632.78
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.40 / $162.60 / $353.08	Professional	26	$112.40	$162.60	$353.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.25 / $384.25 / $521.82	Professional		$331.25	$384.25	$521.82
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.75 / $202.50 / $297.00	Professional	26	$173.75	$202.50	$297.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $346.50 / $555.26	Professional		$111.15	$346.50	$555.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $168.75 / $226.05 / $321.30	Professional	26	$168.75	$226.05	$321.30
United Facility/Professional Professional Modifier Low / Median / High Price $198.24 / $299.07 / $477.43	Professional		$198.24	$299.07	$477.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $117.72 / $121.02 / $278.35	Professional	26	$117.72	$121.02	$278.35