Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $308.39 / $308.39 / $308.39	Facility	26	$308.39	$308.39	$308.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $263.80 / $780.96	Professional		$165.44	$263.80	$780.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.55 / $352.90 / $791.22	Professional		$204.55	$352.90	$791.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $629.95 / $819.58 / $1,630.09	Professional		$629.95	$819.58	$1,630.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.00 / $1,031.40 / $1,375.94	Professional		$616.00	$1,031.40	$1,375.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $772.20 / $1,357.29	Professional		$305.08	$772.20	$1,357.29
United Facility/Professional Professional Modifier Low / Median / High Price $301.30 / $617.28 / $968.00	Professional		$301.30	$617.28	$968.00