Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.31 / $71.31 / $71.31	Facility	26	$71.31	$71.31	$71.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $244.00 / $346.94	Professional		$108.66	$244.00	$346.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.18 / $273.79 / $292.05	Professional		$122.18	$273.79	$292.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.03 / $235.80 / $508.92	Professional		$195.03	$235.80	$508.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.75 / $352.35 / $574.40	Professional		$303.75	$352.35	$574.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.87 / $296.39 / $560.00	Professional		$112.87	$296.39	$560.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $227.87 / $651.64	Professional		$92.75	$227.87	$651.64