Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.41 / $162.41 / $162.41	Facility	26	$162.41	$162.41	$162.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.05 / $256.43 / $431.59	Professional		$209.05	$256.43	$431.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $463.45 / $495.86	Professional		$219.35	$463.45	$495.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.15 / $420.18 / $912.56	Professional		$350.15	$420.18	$912.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $541.25 / $587.60 / $949.88	Professional		$541.25	$587.60	$949.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.42 / $513.60 / $949.88	Professional		$202.42	$513.60	$949.88
United Facility/Professional Professional Modifier Low / Median / High Price $370.76 / $463.45 / $1,076.41	Professional		$370.76	$463.45	$1,076.41