Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.23 / $70.23 / $70.23	Facility	26	$70.23	$70.23	$70.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.01 / $660.82 / $1,023.14	Professional		$188.01	$660.82	$1,023.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.38 / $461.38 / $635.17	Professional		$461.38	$461.38	$635.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $538.58 / $745.92 / $1,607.65	Professional		$538.58	$745.92	$1,607.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $832.50 / $965.70 / $1,374.53	Professional		$832.50	$965.70	$1,374.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.95 / $922.50 / $1,374.53	Professional		$266.95	$922.50	$1,374.53
United Facility/Professional Professional Modifier Low / Median / High Price $420.08 / $508.14 / $1,277.39	Professional		$420.08	$508.14	$1,277.39