Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.16 / $168.83 / $196.63	Facility	26	$76.16	$168.83	$196.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $207.10 / $231.63	Professional		$166.25	$207.10	$231.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.71 / $18.38 / $83.88	Professional	26	$15.71	$18.38	$83.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $226.50 / $301.23	Professional		$117.19	$226.50	$301.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.79 / $55.59 / $89.72	Professional	26	$32.79	$55.59	$89.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.65 / $227.07 / $492.14	Professional		$177.65	$227.07	$492.14
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $59.03 / $72.59 / $209.95	Professional	26	$59.03	$72.59	$209.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $343.50 / $666.00	Professional		$292.50	$343.50	$666.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $91.25 / $100.00 / $140.40	Professional	26	$91.25	$100.00	$140.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.73 / $277.20 / $519.83	Professional		$100.73	$277.20	$519.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $55.59 / $108.00 / $139.13	Professional	26	$55.59	$108.00	$139.13
United Facility/Professional Professional Modifier Low / Median / High Price $180.23 / $271.80 / $1,926.00	Professional		$180.23	$271.80	$1,926.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.98 / $71.78 / $125.62	Professional	26	$25.98	$71.78	$125.62