Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.02 / $137.02 / $137.02	Facility	26	$137.02	$137.02	$137.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.97 / $348.97 / $487.23	Professional		$348.97	$348.97	$487.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $345.62 / $410.24	Professional		$167.48	$345.62	$410.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $323.13 / $716.65	Professional		$269.27	$323.13	$716.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $453.60 / $692.50	Professional		$367.50	$453.60	$692.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $382.20 / $635.79	Professional		$158.94	$382.20	$635.79
United Facility/Professional Professional Modifier Low / Median / High Price $246.10 / $342.66 / $676.78	Professional		$246.10	$342.66	$676.78