Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.58 / $162.58 / $162.58	Facility	26	$162.58	$162.58	$162.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.16 / $228.05 / $351.02	Professional		$186.16	$228.05	$351.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.59 / $392.02 / $414.23	Professional		$176.59	$392.02	$414.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $276.58 / $331.89 / $738.60	Professional		$276.58	$331.89	$738.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $495.90 / $793.43	Professional		$427.50	$495.90	$793.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.82 / $412.00 / $771.80	Professional		$163.82	$412.00	$771.80
United Facility/Professional Professional Modifier Low / Median / High Price $293.83 / $470.43 / $917.73	Professional		$293.83	$470.43	$917.73