Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.02 / $265.02 / $265.02	Facility	26	$265.02	$265.02	$265.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $1,214.80 / $1,514.97	Professional		$475.00	$1,214.80	$1,514.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $344.06 / $519.54	Professional	26	$140.00	$344.06	$519.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.41 / $946.49 / $1,160.19	Professional		$415.41	$946.49	$1,160.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $127.07 / $290.32 / $312.83	Professional	26	$127.07	$290.32	$312.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $670.38 / $804.45 / $1,830.00	Professional		$670.38	$804.45	$1,830.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $202.98 / $248.92 / $613.09	Professional	26	$202.98	$248.92	$613.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,036.25 / $1,185.59 / $1,971.27	Professional		$1,036.25	$1,185.59	$1,971.27
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $313.75 / $338.85 / $571.50	Professional	26	$313.75	$338.85	$571.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $391.03 / $1,052.50 / $1,927.80	Professional		$391.03	$1,052.50	$1,927.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $294.41 / $379.50 / $565.46	Professional	26	$294.41	$379.50	$565.46
United Facility/Professional Professional Modifier Low / Median / High Price $757.20 / $1,135.80 / $3,283.00	Professional		$757.20	$1,135.80	$3,283.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $131.11 / $375.42 / $1,049.00	Professional	26	$131.11	$375.42	$1,049.00