Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $457.09	Professional		$117.49	$169.82	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $380.19	Professional		$354.81	$354.81	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $363.08 / $741.31	Professional		$281.84	$363.08	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $691.83	Professional		$446.68	$446.68	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $380.19	Professional		$114.82	$162.18	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $309.03 / $1,047.13	Professional		$288.40	$309.03	$1,047.13