Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $238.26 / $238.26 / $238.26	Facility	26	$238.26	$238.26	$238.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,282.47 / $1,608.62 / $1,608.62	Professional		$1,282.47	$1,608.62	$1,608.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.09 / $900.00 / $1,202.43	Professional		$480.09	$900.00	$1,202.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $764.93 / $931.59 / $2,015.04	Professional		$764.93	$931.59	$2,015.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,393.60 / $2,337.81	Professional		$1,200.00	$1,393.60	$2,337.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.94 / $1,222.50 / $2,285.89	Professional		$446.94	$1,222.50	$2,285.89
United Facility/Professional Professional Modifier Low / Median / High Price $792.18 / $1,327.35 / $2,781.00	Professional		$792.18	$1,327.35	$2,781.00