Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $281.84 / $794.33	Professional		$199.53	$281.84	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $75.86 / $251.19	Professional	26	$54.95	$75.86	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $977.24	Professional		$691.83	$831.76	$977.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $208.93 / $295.12	Professional	26	$117.49	$208.93	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $562.34 / $1,148.15	Professional		$489.78	$562.34	$1,148.15
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $177.83 / $281.84	Professional	26	$141.25	$177.83	$281.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $1,445.44	Professional		$812.83	$977.24	$1,445.44
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $223.87 / $239.88 / $398.11	Professional	26	$223.87	$239.88	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $512.86 / $831.76	Professional		$354.81	$512.86	$831.76
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $194.98 / $295.12	Professional	26	$51.29	$194.98	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $2,754.23	Professional		$562.34	$831.76	$2,754.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $269.15 / $891.25	Professional	26	$154.88	$269.15	$891.25