Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.63 / $83.63 / $83.63	Facility	26	$83.63	$83.63	$83.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.41 / $396.41 / $586.07	Professional		$396.41	$396.41	$586.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.06 / $303.99 / $493.18	Professional		$197.06	$303.99	$493.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.69 / $381.36 / $825.72	Professional		$316.69	$381.36	$825.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.25 / $546.75 / $795.66	Professional		$416.25	$546.75	$795.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $416.25 / $721.80	Professional		$175.84	$416.25	$721.80
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $312.99 / $704.83	Professional		$128.47	$312.99	$704.83