Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.86 / $82.86 / $82.86	Facility	26	$82.86	$82.86	$82.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $60.57 / $155.12	Professional		$43.52	$60.57	$155.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $87.64 / $166.34	Professional		$51.10	$87.64	$166.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $139.74 / $298.14	Professional		$116.45	$139.74	$298.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $208.80 / $304.00	Professional		$180.00	$208.80	$304.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $150.75 / $294.00	Professional		$62.60	$150.75	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.02 / $199.62 / $277.48	Professional		$72.02	$199.62	$277.48