Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.93 / $36.93 / $36.93	Facility	26	$36.93	$36.93	$36.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $249.88 / $475.00	Professional		$76.69	$249.88	$475.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.19 / $72.39 / $140.00	Professional	26	$18.19	$72.39	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $91.40 / $174.50	Professional		$67.79	$91.40	$174.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.66 / $38.01 / $43.51	Professional	26	$17.66	$38.01	$43.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $131.97 / $290.57	Professional		$109.18	$131.97	$290.57
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.30 / $34.81 / $86.13	Professional	26	$28.30	$34.81	$86.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $197.20 / $330.78	Professional		$170.00	$197.20	$330.78
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $43.75 / $49.00 / $78.75	Professional	26	$43.75	$49.00	$78.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $64.44 / $175.00 / $325.50	Professional		$64.44	$175.00	$325.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.00 / $52.50 / $78.23	Professional	26	$35.00	$52.50	$78.23
United Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $189.00 / $267.75	Professional		$126.00	$189.00	$267.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $18.57 / $52.11 / $73.95	Professional	26	$18.57	$52.11	$73.95