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 $379.63 / $379.63 / $569.66	Professional		$379.63	$379.63	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.65 / $288.70 / $479.38	Professional		$186.65	$288.70	$479.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.63 / $361.95 / $784.80	Professional		$301.63	$361.95	$784.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.50 / $518.40 / $783.90	Professional		$417.50	$518.40	$783.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $396.48 / $723.60	Professional		$166.58	$396.48	$723.60
United Facility/Professional Professional Modifier Low / Median / High Price $146.97 / $335.09 / $704.83	Professional		$146.97	$335.09	$704.83