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 $475.00 / $1,174.11 / $1,453.74	Professional		$475.00	$1,174.11	$1,453.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $400.16 / $988.32 / $1,055.00	Professional		$400.16	$988.32	$1,055.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $644.48 / $775.35 / $1,693.34	Professional		$644.48	$775.35	$1,693.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $998.75 / $1,182.00 / $1,938.00	Professional		$998.75	$1,182.00	$1,938.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.59 / $1,025.00 / $1,917.63	Professional		$375.59	$1,025.00	$1,917.63
United Facility/Professional Professional Modifier Low / Median / High Price $733.42 / $916.78 / $2,545.00	Professional		$733.42	$916.78	$2,545.00