Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.48 / $76.48 / $76.48	Facility	26	$76.48	$76.48	$76.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $185.38 / $185.38	Professional		$74.66	$185.38	$185.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $94.64 / $184.86	Professional		$62.08	$94.64	$184.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $143.94 / $172.74 / $362.09	Professional		$143.94	$172.74	$362.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.75 / $250.50 / $334.00	Professional		$208.75	$250.50	$334.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $184.86 / $334.00	Professional		$70.13	$184.86	$334.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.47 / $184.85 / $314.25	Professional		$87.47	$184.85	$314.25