Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $257.04 / $257.04 / $257.04	Facility	26	$257.04	$257.04	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $309.03 / $724.44	Professional		$204.17	$309.03	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $512.86 / $831.76	Professional		$208.93	$512.86	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $758.58 / $1,174.90	Professional		$436.52	$758.58	$1,174.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,584.89	Professional		$977.24	$1,071.52	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $478.63 / $812.83	Professional		$257.04	$478.63	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $831.76 / $1,412.54	Professional		$208.93	$831.76	$1,412.54