Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $287.43 / $287.43 / $287.43	Facility	26	$287.43	$287.43	$287.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.80 / $275.14 / $495.99	Professional		$225.80	$275.14	$495.99
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $90.82 / $316.56	Professional	26	$77.76	$90.82	$316.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.85 / $523.44 / $550.25	Professional		$241.85	$523.44	$550.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $146.08 / $269.88 / $340.51	Professional	26	$146.08	$269.88	$340.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $378.45 / $454.14 / $1,045.66	Professional		$378.45	$454.14	$1,045.66
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $224.00 / $271.44 / $791.51	Professional	26	$224.00	$271.44	$791.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $678.60 / $1,075.04	Professional		$585.00	$678.60	$1,075.04
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $311.25 / $373.95 / $619.10	Professional	26	$311.25	$373.95	$619.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $562.79 / $1,073.71	Professional		$222.30	$562.79	$1,073.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $247.24 / $415.50 / $619.10	Professional	26	$247.24	$415.50	$619.10
United Facility/Professional Professional Modifier Low / Median / High Price $402.96 / $591.09 / $1,186.34	Professional		$402.96	$591.09	$1,186.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $124.62 / $283.41 / $674.08	Professional	26	$124.62	$283.41	$674.08