Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $43.65 / $102.33	Professional		$22.91	$43.65	$102.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.03 / $10.72 / $28.84	Professional	26	$6.03	$10.72	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $125.89	Professional		$69.18	$87.10	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $28.84 / $32.36	Professional	26	$16.98	$28.84	$32.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $91.20 / $138.04	Professional		$41.69	$91.20	$138.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $26.30 / $41.69	Professional	26	$21.88	$26.30	$41.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $204.17	Professional		$112.20	$141.25	$204.17
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $35.48 / $57.54	Professional	26	$32.36	$35.48	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $66.07 / $93.33	Professional		$30.90	$66.07	$93.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $7.41 / $16.98 / $32.36	Professional	26	$7.41	$16.98	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $85.11 / $204.17	Professional		$74.13	$85.11	$204.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.39 / $26.92 / $70.79	Professional	26	$22.39	$26.92	$70.79