Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.47 / $245.47 / $245.47	Facility	26	$245.47	$245.47	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $588.84 / $1,230.27	Professional		$275.42	$588.84	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,230.27	Professional		$933.25	$1,023.29	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,479.11	Professional		$660.69	$776.25	$1,479.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,949.84	Professional		$1,122.02	$1,174.90	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,023.29	Professional		$478.63	$691.83	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $3,235.94	Professional		$741.31	$954.99	$3,235.94