Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.61 / $56.61 / $98.50	Facility	26	$56.61	$56.61	$98.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $88.18 / $285.14	Professional		$71.84	$88.18	$285.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $210.29 / $351.39	Professional		$135.66	$210.29	$351.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.77 / $262.98 / $573.10	Professional		$218.77	$262.98	$573.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.00 / $379.35 / $567.69	Professional		$290.00	$379.35	$567.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $290.00 / $514.79	Professional		$121.94	$290.00	$514.79
United Facility/Professional Professional Modifier Low / Median / High Price $103.76 / $247.46 / $493.02	Professional		$103.76	$247.46	$493.02