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 $752.46 / $752.46 / $1,267.16	Professional		$752.46	$752.46	$1,267.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.57 / $488.57 / $666.50	Professional		$488.57	$488.57	$666.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.43 / $721.98 / $1,302.00	Professional		$215.43	$721.98	$1,302.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $722.50 / $997.65 / $1,762.90	Professional		$722.50	$997.65	$1,762.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.71 / $923.75 / $1,589.50	Professional		$377.71	$923.75	$1,589.50
United Facility/Professional Professional Modifier Low / Median / High Price $276.97 / $799.80 / $3,051.08	Professional		$276.97	$799.80	$3,051.08