Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $157.69 / $217.10 / $217.10	Facility	26	$157.69	$217.10	$217.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.20 / $138.54 / $449.02	Professional		$110.20	$138.54	$449.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $195.46 / $370.03	Professional		$120.60	$195.46	$370.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.88 / $345.45 / $705.08	Professional		$287.88	$345.45	$705.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $513.00 / $704.00	Professional		$430.00	$513.00	$704.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $370.03 / $702.50	Professional		$145.18	$370.03	$702.50
United Facility/Professional Professional Modifier Low / Median / High Price $168.74 / $370.03 / $629.04	Professional		$168.74	$370.03	$629.04