Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.26 / $164.26 / $164.26	Facility	26	$164.26	$164.26	$164.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.50 / $230.92 / $365.94	Professional		$188.50	$230.92	$365.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.59 / $405.73 / $423.05	Professional		$180.59	$405.73	$423.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $341.58 / $766.76	Professional		$284.64	$341.58	$766.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $508.30 / $824.72	Professional		$440.00	$508.30	$824.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.06 / $429.60 / $812.66	Professional		$170.06	$429.60	$812.66
United Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $486.87 / $943.47	Professional		$307.60	$486.87	$943.47