Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $91.20 / $91.20 / $91.20	Facility	26	$91.20	$91.20	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $112.20 / $288.40	Professional		$61.66	$112.20	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $309.03	Professional		$186.21	$239.88	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $489.78	Professional		$169.82	$316.23	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $426.58 / $562.34	Professional		$239.88	$426.58	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $218.78 / $309.03	Professional		$91.20	$218.78	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $245.47 / $436.52	Professional		$93.33	$245.47	$436.52