Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $188.71 / $188.71 / $188.71	Facility	26	$188.71	$188.71	$188.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $797.20 / $797.20 / $876.22	Professional		$797.20	$797.20	$876.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $222.77 / $268.52 / $268.52	Professional	26	$222.77	$268.52	$268.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.17 / $737.59 / $973.00	Professional		$303.17	$737.59	$973.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.76 / $206.73 / $276.00	Professional	26	$90.76	$206.73	$276.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.13 / $587.10 / $1,279.35	Professional		$489.13	$587.10	$1,279.35
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.75 / $177.41 / $438.13	Professional	26	$144.75	$177.41	$438.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $756.25 / $948.75 / $1,459.26	Professional		$756.25	$948.75	$1,459.26
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $223.75 / $241.65 / $402.30	Professional	26	$223.75	$241.65	$402.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $283.76 / $812.00 / $1,450.52	Professional		$283.76	$812.00	$1,450.52
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 $234.22 / $834.63 / $2,152.00	Professional		$234.22	$834.63	$2,152.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $86.93 / $267.45 / $590.00	Professional	26	$86.93	$267.45	$590.00