Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.92 / $176.92 / $176.92	Facility	26	$176.92	$176.92	$176.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $144.33 / $380.56	Professional		$113.87	$144.33	$380.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.89 / $196.81 / $383.17	Professional		$126.89	$196.81	$383.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $329.94 / $595.00	Professional		$134.25	$329.94	$595.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $493.00 / $696.00	Professional		$425.00	$493.00	$696.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $358.28 / $684.00	Professional		$143.68	$358.28	$684.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $383.18 / $639.16	Professional		$168.80	$383.18	$639.16