Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $138.04 / $338.84	Professional		$89.13	$138.04	$338.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $50.12 / $169.82	Professional	26	$30.20	$50.12	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $380.19	Professional		$229.09	$331.13	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $107.15 / $165.96	Professional	26	$63.10	$107.15	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $457.09	Professional		$177.83	$288.40	$457.09
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $144.54 / $234.42	Professional	26	$69.18	$144.54	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $676.08	Professional		$398.11	$436.52	$676.08
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $123.03 / $194.98 / $269.15	Professional	26	$123.03	$194.98	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $331.13	Professional		$104.71	$229.09	$331.13
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $33.11 / $63.10 / $165.96	Professional	26	$33.11	$63.10	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $776.25	Professional		$263.03	$281.84	$776.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $100.00 / $269.15	Professional	26	$95.50	$100.00	$269.15