Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.78 / $72.78 / $72.78	Facility	26	$72.78	$72.78	$72.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $165.93 / $396.16	Professional		$101.56	$165.93	$396.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.07 / $72.78 / $93.43	Professional	26	$21.07	$72.78	$93.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $305.14 / $494.45	Professional		$198.60	$305.14	$494.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.34 / $75.34 / $85.66	Professional	26	$34.34	$75.34	$85.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.38 / $385.26 / $821.04	Professional		$311.38	$385.26	$821.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $66.22 / $199.29	Professional	26	$55.00	$66.22	$199.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $546.75 / $804.60	Professional		$420.00	$546.75	$804.60
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $85.00 / $93.15 / $154.22	Professional	26	$85.00	$93.15	$154.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.85 / $420.00 / $744.26	Professional		$175.85	$420.00	$744.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.00 / $103.50 / $154.36	Professional	26	$70.00	$103.50	$154.36
United Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $352.28 / $719.51	Professional		$133.43	$352.28	$719.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.89 / $71.31 / $172.30	Professional	26	$32.89	$71.31	$172.30