Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.55 / $127.55 / $127.55	Facility	26	$127.55	$127.55	$127.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.23 / $329.23 / $440.91	Professional		$329.23	$329.23	$440.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.47 / $140.47 / $163.33	Professional	26	$140.47	$140.47	$163.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.56 / $261.16 / $371.27	Professional		$167.56	$261.16	$371.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.84 / $129.87 / $148.53	Professional	26	$62.84	$129.87	$148.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $325.08 / $697.51	Professional		$270.89	$325.08	$697.51
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $101.08 / $122.90 / $353.73	Professional	26	$101.08	$122.90	$353.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.25 / $452.25 / $630.00	Professional		$346.25	$452.25	$630.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $151.25 / $168.75 / $270.44	Professional	26	$151.25	$168.75	$270.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $140.66 / $338.66 / $600.27	Professional		$140.66	$338.66	$600.27
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $121.00 / $181.50 / $270.44	Professional	26	$121.00	$181.50	$270.44
United Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $279.23 / $616.16	Professional		$150.16	$279.23	$616.16
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.73 / $123.63 / $298.70	Professional	26	$55.73	$123.63	$298.70