Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $107.69 / $107.69 / $107.69	Facility	26	$107.69	$107.69	$107.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $146.07 / $411.00	Professional		$113.59	$146.07	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.75 / $185.19 / $362.09	Professional		$119.75	$185.19	$362.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.13 / $331.89 / $598.50	Professional		$251.13	$331.89	$598.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.75 / $490.00 / $682.00	Professional		$418.75	$490.00	$682.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.49 / $360.34 / $672.00	Professional		$147.49	$360.34	$672.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $289.68 / $604.01	Professional		$159.71	$289.68	$604.01