Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	26	$67.78	$67.78	$67.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.25 / $142.25 / $192.93	Professional		$55.25	$142.25	$192.93
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.22 / $74.64 / $90.29	Professional	26	$25.22	$74.64	$90.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $123.90 / $162.46	Professional		$68.66	$123.90	$162.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $55.04 / $78.94	Professional	26	$30.47	$55.04	$78.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $135.87 / $276.33	Professional		$113.23	$135.87	$276.33
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.18 / $65.01 / $144.88	Professional	26	$54.18	$65.01	$144.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.00 / $218.67 / $321.89	Professional		$175.00	$218.67	$321.89
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $83.75 / $97.15 / $142.00	Professional	26	$83.75	$97.15	$142.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $175.00 / $315.00	Professional		$66.48	$175.00	$315.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $62.48 / $97.50 / $147.55	Professional	26	$62.48	$97.50	$147.55
United Facility/Professional Professional Modifier Low / Median / High Price $70.27 / $155.19 / $255.26	Professional		$70.27	$155.19	$255.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.01 / $78.95 / $134.22	Professional	26	$35.01	$78.95	$134.22