Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.85 / $123.85 / $123.85	Facility	26	$123.85	$123.85	$123.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.34 / $336.34 / $473.35	Professional		$336.34	$336.34	$473.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $136.41 / $136.41 / $162.72	Professional	26	$136.41	$136.41	$162.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $227.79 / $398.52	Professional		$166.56	$227.79	$398.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.86 / $134.30 / $148.60	Professional	26	$59.86	$134.30	$148.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $268.48 / $322.17 / $708.46	Professional		$268.48	$322.17	$708.46
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.43 / $116.73 / $286.88	Professional	26	$95.43	$116.73	$286.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.50 / $450.90 / $674.97	Professional		$362.50	$450.90	$674.97
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $147.50 / $159.90 / $270.44	Professional	26	$147.50	$159.90	$270.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $362.50 / $628.38	Professional		$157.13	$362.50	$628.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $134.30 / $181.50 / $270.44	Professional	26	$134.30	$181.50	$270.44
United Facility/Professional Professional Modifier Low / Median / High Price $264.60 / $396.90 / $1,259.00	Professional		$264.60	$396.90	$1,259.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.43 / $148.60 / $330.11	Professional	26	$57.43	$148.60	$330.11