Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $229.09 / $229.09 / $229.09	Facility	26	$229.09	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $602.56 / $2,238.72	Professional		$275.42	$602.56	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $104.71 / $426.58	Professional	26	$67.61	$104.71	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,380.38	Professional		$1,023.29	$1,023.29	$1,380.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $229.09 / $229.09 / $257.04	Professional	26	$229.09	$229.09	$257.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,630.27	Professional		$1,071.52	$1,380.38	$2,630.27
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $223.87 / $524.81	Professional	26	$173.78	$223.87	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $2,511.89	Professional		$1,698.24	$1,737.80	$2,511.89
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $281.84 / $281.84 / $426.58	Professional	26	$281.84	$281.84	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,380.38	Professional		$446.68	$645.65	$1,380.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $97.72 / $257.04	Professional	26	$69.18	$97.72	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $1,659.59	Professional		$758.58	$1,096.48	$1,659.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $177.83 / $204.17 / $309.03	Professional	26	$177.83	$204.17	$309.03