Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.70 / $77.70 / $77.70	Facility	26	$77.70	$77.70	$77.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.58 / $305.58 / $435.47	Professional		$305.58	$305.58	$435.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.33 / $338.93 / $366.53	Professional		$159.33	$338.93	$366.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.25 / $306.63 / $647.85	Professional		$251.25	$306.63	$647.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $436.80 / $726.38	Professional		$395.00	$436.80	$726.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $373.20 / $699.16	Professional		$143.69	$373.20	$699.16
United Facility/Professional Professional Modifier Low / Median / High Price $267.20 / $412.77 / $788.87	Professional		$267.20	$412.77	$788.87