Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $293.51 / $293.51 / $293.51	Facility	26	$293.51	$293.51	$293.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $233.74 / $539.53	Professional		$209.52	$233.74	$539.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $143.16 / $323.24	Professional	26	$49.34	$143.16	$323.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.23 / $493.20 / $595.29	Professional		$261.23	$493.20	$595.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.40 / $173.41 / $346.13	Professional	26	$102.40	$173.41	$346.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.03 / $509.93 / $1,130.64	Professional		$414.03	$509.93	$1,130.64
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $226.43 / $277.11 / $802.23	Professional	26	$226.43	$277.11	$802.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $691.20 / $1,055.00	Professional		$510.00	$691.20	$1,055.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $202.80 / $372.60 / $536.25	Professional	26	$202.80	$372.60	$536.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.08 / $525.54 / $1,000.48	Professional		$214.08	$525.54	$1,000.48
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $173.41 / $371.30 / $534.87	Professional	26	$173.41	$371.30	$534.87
United Facility/Professional Professional Modifier Low / Median / High Price $440.76 / $589.83 / $1,186.19	Professional		$440.76	$589.83	$1,186.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.33 / $288.10 / $595.34	Professional	26	$100.33	$288.10	$595.34