Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.03 / $92.03 / $92.03	Facility	26	$92.03	$92.03	$92.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $147.10 / $374.89	Professional		$119.53	$147.10	$374.89
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $29.43 / $101.34	Professional	26	$25.03	$29.43	$101.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $353.77 / $532.60	Professional		$163.24	$353.77	$532.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.61 / $88.32 / $99.26	Professional	26	$47.61	$88.32	$99.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.20 / $313.44 / $684.70	Professional		$261.20	$313.44	$684.70
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.59 / $88.32 / $255.78	Professional	26	$73.59	$88.32	$255.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.75 / $466.70 / $858.24	Professional		$403.75	$466.70	$858.24
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $102.50 / $122.85 / $183.27	Professional	26	$102.50	$122.85	$183.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $415.00 / $787.78	Professional		$151.87	$415.00	$787.78
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $123.00 / $187.37	Professional	26	$83.00	$123.00	$187.37
United Facility/Professional Professional Modifier Low / Median / High Price $176.69 / $335.82 / $768.13	Professional		$176.69	$335.82	$768.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.61 / $82.64 / $199.65	Professional	26	$36.61	$82.64	$199.65