Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.17 / $108.17 / $108.17	Facility	26	$108.17	$108.17	$108.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $179.27 / $179.27	Professional		$67.50	$179.27	$179.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.02 / $119.12 / $119.12	Professional	26	$40.02	$119.12	$119.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $121.77 / $206.84	Professional		$84.35	$121.77	$206.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.10 / $94.30 / $124.53	Professional	26	$52.10	$94.30	$124.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $136.68 / $164.01 / $348.40	Professional		$136.68	$164.01	$348.40
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $84.90 / $101.88 / $231.24	Professional	26	$84.90	$101.88	$231.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.25 / $281.70 / $407.75	Professional		$211.25	$281.70	$407.75
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $131.25 / $154.50 / $227.97	Professional	26	$131.25	$154.50	$227.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.05 / $213.75 / $407.75	Professional		$81.05	$213.75	$407.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $107.21 / $158.60 / $244.00	Professional	26	$107.21	$158.60	$244.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.94 / $237.30 / $336.18	Professional		$101.94	$237.30	$336.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.86 / $149.43 / $211.70	Professional	26	$55.86	$149.43	$211.70