Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $214.56 / $214.56 / $214.56	Facility	26	$214.56	$214.56	$214.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.50 / $663.20 / $663.20	Professional		$522.50	$663.20	$663.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.89 / $797.80 / $900.00	Professional		$322.89	$797.80	$900.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $521.58 / $625.89 / $1,378.58	Professional		$521.58	$625.89	$1,378.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.25 / $912.60 / $1,542.15	Professional		$806.25	$912.60	$1,542.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.77 / $820.00 / $1,474.20	Professional		$305.77	$820.00	$1,474.20
United Facility/Professional Professional Modifier Low / Median / High Price $593.82 / $617.80 / $1,275.09	Professional		$593.82	$617.80	$1,275.09