Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $180.78 / $180.78 / $180.78	Facility	26	$180.78	$180.78	$180.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.00 / $896.69 / $896.69	Professional		$349.00	$896.69	$896.69
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $235.25 / $257.24	Professional	26	$52.46	$235.25	$257.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.69 / $827.56 / $941.65	Professional		$374.69	$827.56	$941.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.85 / $186.67 / $214.08	Professional	26	$85.85	$186.67	$214.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $726.84 / $1,576.25	Professional		$595.91	$726.84	$1,576.25
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $137.47 / $169.18 / $417.73	Professional	26	$137.47	$169.18	$417.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $936.25 / $1,034.09 / $1,747.77	Professional		$936.25	$1,034.09	$1,747.77
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $212.50 / $229.50 / $386.66	Professional	26	$212.50	$229.50	$386.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $957.50 / $1,650.60	Professional		$349.62	$957.50	$1,650.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $186.67 / $259.50 / $386.66	Professional	26	$186.67	$259.50	$386.66
United Facility/Professional Professional Modifier Low / Median / High Price $567.74 / $993.06 / $1,582.28	Professional		$567.74	$993.06	$1,582.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.99 / $256.89 / $409.32	Professional	26	$82.99	$256.89	$409.32