Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $220.33 / $220.33 / $220.33	Facility	26	$220.33	$220.33	$220.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $2,216.92	Professional		$475.00	$522.50	$2,216.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $154.00 / $431.92	Professional	26	$140.00	$154.00	$431.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.97 / $1,023.97 / $1,369.80	Professional		$1,023.97	$1,023.97	$1,369.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $230.37 / $230.37 / $258.02	Professional	26	$230.37	$230.37	$258.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,008.40 / $1,396.64 / $3,061.24	Professional		$1,008.40	$1,396.64	$3,061.24
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $169.83 / $278.91 / $608.40	Professional	26	$169.83	$278.91	$608.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,558.75 / $1,808.15 / $2,927.85	Professional		$1,558.75	$1,808.15	$2,927.85
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $262.50 / $304.50 / $462.65	Professional	26	$262.50	$304.50	$462.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $574.52 / $1,924.50 / $2,632.28	Professional		$574.52	$1,924.50	$2,632.28
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $260.00 / $340.67 / $497.42	Professional	26	$260.00	$340.67	$497.42
United Facility/Professional Professional Modifier Low / Median / High Price $928.20 / $1,095.83 / $2,368.00	Professional		$928.20	$1,095.83	$2,368.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $179.56 / $207.10 / $528.00	Professional	26	$179.56	$207.10	$528.00