Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $226.09 / $226.09 / $226.09	Facility	26	$226.09	$226.09	$226.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.04 / $473.24 / $864.73	Professional		$152.04	$473.24	$864.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.57 / $391.57 / $472.05	Professional		$391.57	$391.57	$472.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $363.90 / $787.50	Professional		$215.43	$363.90	$787.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $531.25 / $600.75 / $1,296.25	Professional		$531.25	$600.75	$1,296.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $556.25 / $1,168.75	Professional		$299.33	$556.25	$1,168.75
United Facility/Professional Professional Modifier Low / Median / High Price $215.95 / $566.46 / $2,160.92	Professional		$215.95	$566.46	$2,160.92