Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.86 / $119.86 / $571.12	Facility	26	$119.86	$119.86	$571.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $118.74 / $372.01	Professional		$96.60	$118.74	$372.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.17 / $23.56 / $132.00	Professional	26	$20.17	$23.56	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.47 / $293.41 / $447.38	Professional		$180.47	$293.41	$447.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.43 / $72.12 / $142.87	Professional	26	$43.43	$72.12	$142.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $349.35 / $767.31	Professional		$291.13	$349.35	$767.31
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.20 / $112.97 / $328.06	Professional	26	$92.20	$112.97	$328.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.50 / $492.75 / $733.20	Professional		$397.50	$492.75	$733.20
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $152.55 / $223.18	Professional	26	$87.10	$152.55	$223.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $397.50 / $688.16	Professional		$157.08	$397.50	$688.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $72.12 / $157.44 / $223.18	Professional	26	$72.12	$157.44	$223.18
United Facility/Professional Professional Modifier Low / Median / High Price $123.07 / $307.45 / $742.89	Professional		$123.07	$307.45	$742.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.86 / $118.93 / $287.33	Professional	26	$41.86	$118.93	$287.33