Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.95 / $265.95 / $265.95	Facility	26	$265.95	$265.95	$265.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.95 / $476.89 / $1,017.32	Professional		$387.95	$476.89	$1,017.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $78.03 / $91.03 / $378.42	Professional	26	$78.03	$91.03	$378.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.56 / $973.00 / $1,110.68	Professional		$454.56	$973.00	$1,110.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.00 / $276.00 / $291.89	Professional	26	$129.00	$276.00	$291.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $728.33 / $878.22 / $1,904.54	Professional		$728.33	$878.22	$1,904.54
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $204.60 / $245.52 / $616.44	Professional	26	$204.60	$245.52	$616.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.25 / $1,233.90 / $2,065.14	Professional		$1,131.25	$1,233.90	$2,065.14
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $316.25 / $341.55 / $567.69	Professional	26	$316.25	$341.55	$567.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.42 / $1,142.50 / $1,948.80	Professional		$422.42	$1,142.50	$1,948.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $275.45 / $381.00 / $567.69	Professional	26	$275.45	$381.00	$567.69
United Facility/Professional Professional Modifier Low / Median / High Price $705.70 / $1,187.36 / $1,891.88	Professional		$705.70	$1,187.36	$1,891.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $123.18 / $378.06 / $602.04	Professional	26	$123.18	$378.06	$602.04