Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $437.11 / $437.11 / $437.11	Facility	26	$437.11	$437.11	$437.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,922.29 / $2,365.03 / $2,365.03	Professional		$1,922.29	$2,365.03	$2,365.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.76 / $1,125.00 / $1,618.18	Professional		$638.76	$1,125.00	$1,618.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,032.65 / $1,239.18 / $2,758.53	Professional		$1,032.65	$1,239.18	$2,758.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,596.25 / $1,853.80 / $3,129.00	Professional		$1,596.25	$1,853.80	$3,129.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $611.84 / $1,633.75 / $3,070.20	Professional		$611.84	$1,633.75	$3,070.20
United Facility/Professional Professional Modifier Low / Median / High Price $1,208.18 / $1,812.27 / $2,567.38	Professional		$1,208.18	$1,812.27	$2,567.38