Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.80 / $165.80 / $165.80	Facility	26	$165.80	$165.80	$165.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.84 / $385.84 / $526.37	Professional		$385.84	$385.84	$526.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.03 / $427.55 / $443.31	Professional		$193.03	$427.55	$443.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $306.48 / $367.77 / $808.34	Professional		$306.48	$367.77	$808.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.75 / $527.79 / $869.42	Professional		$473.75	$527.79	$869.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.29 / $453.60 / $853.52	Professional		$179.29	$453.60	$853.52
United Facility/Professional Professional Modifier Low / Median / High Price $324.77 / $513.05 / $979.88	Professional		$324.77	$513.05	$979.88