Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $211.88 / $211.88 / $211.88	Facility	26	$211.88	$211.88	$211.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.62 / $216.24 / $415.57	Professional		$153.62	$216.24	$415.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.16 / $391.51 / $468.53	Professional		$203.16	$391.51	$468.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $321.85 / $386.22 / $878.08	Professional		$321.85	$386.22	$878.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $460.00 / $540.00 / $795.66	Professional		$460.00	$540.00	$795.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $460.00 / $795.66	Professional		$174.80	$460.00	$795.66
United Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $341.96 / $921.58	Professional		$160.02	$341.96	$921.58