Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $311.72 / $311.72 / $311.72	Facility	26	$311.72	$311.72	$311.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $1,047.07	Professional		$475.00	$522.50	$1,047.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.89 / $1,125.00 / $1,265.56	Professional		$512.89	$1,125.00	$1,265.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $824.42 / $991.74 / $2,163.04	Professional		$824.42	$991.74	$2,163.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,277.50 / $1,449.50 / $2,442.86	Professional		$1,277.50	$1,449.50	$2,442.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.76 / $1,295.00 / $2,341.50	Professional		$479.76	$1,295.00	$2,341.50
United Facility/Professional Professional Modifier Low / Median / High Price $936.28 / $1,312.60 / $1,968.90	Professional		$936.28	$1,312.60	$1,968.90