Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $371.03 / $371.03 / $371.03	Facility	26	$371.03	$371.03	$371.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,167.39 / $1,167.39 / $1,236.70	Professional		$1,167.39	$1,167.39	$1,236.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $703.17 / $825.00 / $1,785.73	Professional		$703.17	$825.00	$1,785.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,123.65 / $1,363.41 / $2,970.17	Professional		$1,123.65	$1,363.41	$2,970.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,756.25 / $2,000.70 / $3,377.09	Professional		$1,756.25	$2,000.70	$3,377.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $658.79 / $1,795.00 / $3,236.10	Professional		$658.79	$1,795.00	$3,236.10
United Facility/Professional Professional Modifier Low / Median / High Price $695.65 / $1,925.94 / $3,068.66	Professional		$695.65	$1,925.94	$3,068.66