Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $240.55 / $240.55 / $240.55	Facility	26	$240.55	$240.55	$240.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,492.54 / $1,818.83 / $1,818.83	Professional		$1,492.54	$1,818.83	$1,818.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.42 / $1,025.00 / $1,256.08	Professional		$501.42	$1,025.00	$1,256.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $797.84 / $973.32 / $2,104.14	Professional		$797.84	$973.32	$2,104.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,253.75 / $1,454.35 / $2,454.03	Professional		$1,253.75	$1,454.35	$2,454.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.70 / $1,278.75 / $2,388.04	Professional		$466.70	$1,278.75	$2,388.04
United Facility/Professional Professional Modifier Low / Median / High Price $396.26 / $1,158.84 / $3,080.00	Professional		$396.26	$1,158.84	$3,080.00