Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $309.03 / $331.13	Facility	26	$288.40	$309.03	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $912.01	Professional		$141.25	$223.87	$912.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $107.15 / $309.03	Professional	26	$75.86	$107.15	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $354.81 / $562.34	Professional		$194.98	$354.81	$562.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $181.97 / $316.23	Professional	26	$100.00	$181.97	$316.23
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $309.03 / $309.03 / $331.13	Facility	26	$309.03	$309.03	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $524.81 / $912.01	Professional		$281.84	$524.81	$912.01
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $281.84 / $457.09	Professional	26	$147.91	$281.84	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $724.44 / $1,047.13	Professional		$660.69	$724.44	$1,047.13
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $346.74 / $380.19 / $562.34	Professional	26	$346.74	$380.19	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $549.54	Professional		$169.82	$316.23	$549.54
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $131.83 / $331.13	Professional	26	$87.10	$131.83	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $562.34 / $954.99	Professional		$208.93	$562.34	$954.99
United Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $331.13 / $562.34	Professional	26	$95.50	$331.13	$562.34