Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $265.64 / $265.64 / $265.64	Facility	26	$265.64	$265.64	$265.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $236.27 / $593.63	Professional		$133.50	$236.27	$593.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.60 / $332.08 / $623.92	Professional		$198.60	$332.08	$623.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $550.20 / $992.25	Professional		$264.89	$550.20	$992.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $708.75 / $822.15 / $1,166.00	Professional		$708.75	$822.15	$1,166.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.68 / $623.92 / $1,122.00	Professional		$249.68	$623.92	$1,122.00
United Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $623.92 / $1,040.75	Professional		$202.46	$623.92	$1,040.75