Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $88.55 / $88.55 / $88.55	Facility	26	$88.55	$88.55	$88.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.03 / $279.75 / $314.70	Professional		$120.03	$279.75	$314.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.29 / $150.02 / $292.04	Professional		$100.29	$150.02	$292.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $268.80 / $538.17	Professional		$224.00	$268.80	$538.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $401.65 / $544.00	Professional		$340.00	$401.65	$544.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $289.10 / $544.00	Professional		$114.33	$289.10	$544.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $292.05 / $496.49	Professional		$130.00	$292.05	$496.49