Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $180.19 / $180.19 / $180.19	Facility	26	$180.19	$180.19	$180.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $169.60 / $468.28	Professional		$119.87	$169.60	$468.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $278.77 / $440.69	Professional		$132.91	$278.77	$440.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $432.90 / $525.96 / $989.85	Professional		$432.90	$525.96	$989.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $505.00 / $700.65 / $933.75	Professional		$505.00	$700.65	$933.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.97 / $460.60 / $808.00	Professional		$165.97	$460.60	$808.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $440.70 / $749.19	Professional		$159.38	$440.70	$749.19