Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.53 / $143.91 / $263.38	Facility	26	$104.53	$143.91	$263.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $109.51 / $351.44	Professional		$87.17	$109.51	$351.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.20 / $147.55 / $280.11	Professional		$95.20	$147.55	$280.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.68 / $255.21 / $523.33	Professional		$212.68	$255.21	$523.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.25 / $381.35 / $532.00	Professional		$326.25	$381.35	$532.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.87 / $275.68 / $510.00	Professional		$111.87	$275.68	$510.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.42 / $280.10 / $476.17	Professional		$126.42	$280.10	$476.17