Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $346.02 / $346.02 / $346.02	Facility	26	$346.02	$346.02	$346.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $1,246.63 / $1,574.24	Professional		$475.00	$1,246.63	$1,574.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $421.90 / $900.00 / $1,049.64	Professional		$421.90	$900.00	$1,049.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.90 / $817.08 / $1,837.11	Professional		$680.90	$817.08	$1,837.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.50 / $1,190.80 / $2,013.74	Professional		$1,052.50	$1,190.80	$2,013.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.47 / $1,072.50 / $1,959.30	Professional		$407.47	$1,072.50	$1,959.30
United Facility/Professional Professional Modifier Low / Median / High Price $759.28 / $1,182.86 / $1,675.73	Professional		$759.28	$1,182.86	$1,675.73