Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.00 / $75.00 / $75.00	Facility	26	$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.25 / $169.64 / $399.96	Professional		$166.25	$169.64	$399.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $263.07 / $497.98	Professional		$169.66	$263.07	$497.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.25 / $372.66 / $828.19	Professional		$265.25	$372.66	$828.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.50 / $549.45 / $811.20	Professional		$240.50	$549.45	$811.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.66 / $373.78 / $720.80	Professional		$169.66	$373.78	$720.80
United Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $462.63 / $775.32	Professional		$132.09	$462.63	$775.32