Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $89.13 / $89.13	Facility	26	$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $213.80	Professional		$57.54	$83.18	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $138.04 / $229.09	Professional		$67.61	$138.04	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $204.17 / $309.03	Professional		$102.33	$204.17	$309.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $426.58	Professional		$263.03	$295.12	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $218.78	Professional		$67.61	$128.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $229.09 / $389.05	Professional		$77.62	$229.09	$389.05