Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $758.58	Professional		$169.82	$257.04	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $660.69	Professional		$489.78	$489.78	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $794.33	Professional		$380.19	$616.60	$794.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,778.28	Professional		$933.25	$1,000.00	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $660.69	Professional		$190.55	$380.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $794.33 / $3,019.95	Professional		$275.42	$794.33	$3,019.95