Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.71 / $186.71 / $186.71	Facility	26	$186.71	$186.71	$186.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $211.56 / $666.08	Professional		$172.58	$211.56	$666.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $49.70 / $205.63	Professional	26	$42.60	$49.70	$205.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.02 / $596.84 / $812.95	Professional		$323.02	$596.84	$812.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.77 / $151.37 / $220.50	Professional	26	$89.77	$151.37	$220.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.58 / $625.89 / $1,370.11	Professional		$521.58	$625.89	$1,370.11
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $143.13 / $175.55 / $512.33	Professional	26	$143.13	$175.55	$512.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $801.25 / $889.65 / $1,394.64	Professional		$801.25	$889.65	$1,394.64
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $176.25 / $238.95 / $352.50	Professional	26	$176.25	$238.95	$352.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $801.25 / $1,394.64	Professional		$303.89	$801.25	$1,394.64
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $140.62 / $267.00 / $352.50	Professional	26	$140.62	$267.00	$352.50
United Facility/Professional Professional Modifier Low / Median / High Price $216.53 / $557.63 / $937.97	Professional		$216.53	$557.63	$937.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.06 / $183.54 / $352.80	Professional	26	$67.06	$183.54	$352.80