Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $236.63 / $236.63 / $236.63	Facility	26	$236.63	$236.63	$236.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $210.52 / $536.54	Professional		$155.55	$210.52	$536.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.59 / $84.88 / $260.61	Professional	26	$67.59	$84.88	$260.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.77 / $271.81 / $551.27	Professional		$178.77	$271.81	$551.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.81 / $141.12 / $275.29	Professional	26	$84.81	$141.12	$275.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.75 / $508.50 / $1,042.93	Professional		$423.75	$508.50	$1,042.93
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $183.58 / $220.29 / $506.52	Professional	26	$183.58	$220.29	$506.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.75 / $711.45 / $986.00	Professional		$613.75	$711.45	$986.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $277.50 / $329.15 / $444.00	Professional	26	$277.50	$329.15	$444.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $203.56 / $544.13 / $986.00	Professional		$203.56	$544.13	$986.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $155.49 / $333.00 / $506.21	Professional	26	$155.49	$333.00	$506.21
United Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $551.28 / $937.17	Professional		$179.00	$551.28	$937.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $106.09 / $220.24 / $468.01	Professional	26	$106.09	$220.24	$468.01