Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	26	$316.23	$316.23	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,047.13	Professional		$323.59	$436.52	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,122.02 / $1,258.93	Professional		$1,023.29	$1,122.02	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,737.80	Professional		$831.76	$954.99	$1,737.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,454.71	Professional		$1,288.25	$1,445.44	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $870.96 / $1,122.02	Professional		$602.56	$870.96	$1,122.02
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $1,995.26	Professional		$933.25	$1,318.26	$1,995.26