Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.93 / $117.93 / $117.93	Facility	26	$117.93	$117.93	$117.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.80 / $103.79 / $294.41	Professional		$85.80	$103.79	$294.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $178.58 / $306.80	Professional		$76.73	$178.58	$306.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.85 / $300.47 / $613.25	Professional		$228.85	$300.47	$613.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $277.22 / $410.35 / $600.00	Professional		$277.22	$410.35	$600.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $345.60 / $623.57	Professional		$117.06	$345.60	$623.57
United Facility/Professional Professional Modifier Low / Median / High Price $113.35 / $243.02 / $366.62	Professional		$113.35	$243.02	$366.62