Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $240.55 / $240.55 / $240.55	Facility	26	$240.55	$240.55	$240.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $1,485.26	Professional		$475.00	$522.50	$1,485.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.11 / $930.89 / $1,216.41	Professional		$407.11	$930.89	$1,216.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $655.00 / $788.94 / $1,724.53	Professional		$655.00	$788.94	$1,724.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,016.25 / $1,178.84 / $1,948.92	Professional		$1,016.25	$1,178.84	$1,948.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $1,111.25 / $1,913.10	Professional		$382.50	$1,111.25	$1,913.10
United Facility/Professional Professional Modifier Low / Median / High Price $744.72 / $1,117.08 / $3,066.00	Professional		$744.72	$1,117.08	$3,066.00