Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $187.87 / $187.87 / $187.87	Facility	26	$187.87	$187.87	$187.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $789.97 / $789.97 / $872.70	Professional		$789.97	$789.97	$872.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $245.80 / $267.31 / $267.31	Professional	26	$245.80	$267.31	$267.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $734.65 / $973.00	Professional		$299.70	$734.65	$973.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.26 / $207.41 / $276.00	Professional	26	$90.26	$207.41	$276.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.58 / $580.29 / $1,271.55	Professional		$483.58	$580.29	$1,271.55
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $143.94 / $176.65 / $436.21	Professional	26	$143.94	$176.65	$436.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $747.50 / $947.50 / $1,448.28	Professional		$747.50	$947.50	$1,448.28
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $222.50 / $240.30 / $402.30	Professional	26	$222.50	$240.30	$402.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $282.04 / $803.00 / $1,448.28	Professional		$282.04	$803.00	$1,448.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $194.34 / $270.00 / $402.30	Professional	26	$194.34	$270.00	$402.30
United Facility/Professional Professional Modifier Low / Median / High Price $555.62 / $833.43 / $2,216.00	Professional		$555.62	$833.43	$2,216.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.93 / $266.58 / $609.00	Professional	26	$86.93	$266.58	$609.00