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 $56.00 / $71.44 / $183.94	Professional		$56.00	$71.44	$183.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $171.01 / $213.34	Professional		$91.34	$171.01	$213.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.55 / $174.66 / $384.84	Professional		$145.55	$174.66	$384.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.25 / $243.00 / $373.25	Professional		$201.25	$243.00	$373.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $201.25 / $354.18	Professional		$76.48	$201.25	$354.18
United Facility/Professional Professional Modifier Low / Median / High Price $91.26 / $154.66 / $683.00	Professional		$91.26	$154.66	$683.00