Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.31 / $46.31 / $46.31	Facility	26	$46.31	$46.31	$46.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $289.14 / $402.15	Professional		$289.14	$289.14	$402.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.01 / $51.01 / $60.00	Professional	26	$51.01	$51.01	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $219.26 / $369.74	Professional		$154.08	$219.26	$369.74
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.05 / $48.91 / $52.98	Professional	26	$23.05	$48.91	$52.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.43 / $298.89 / $634.76	Professional		$245.43	$298.89	$634.76
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.40 / $44.46 / $130.00	Professional	26	$36.40	$44.46	$130.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.75 / $425.25 / $556.52	Professional		$283.75	$425.25	$556.52
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $52.50 / $60.75 / $93.87	Professional	26	$52.50	$60.75	$93.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $295.10 / $509.40	Professional		$137.13	$295.10	$509.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $45.31 / $63.00 / $99.88	Professional	26	$45.31	$63.00	$99.88
United Facility/Professional Professional Modifier Low / Median / High Price $98.77 / $257.25 / $471.63	Professional		$98.77	$257.25	$471.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.36 / $44.10 / $106.54	Professional	26	$21.36	$44.10	$106.54