Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.26 / $295.26 / $295.26	Facility	26	$295.26	$295.26	$295.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.01 / $988.77 / $1,328.14	Professional		$257.01	$988.77	$1,328.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $638.79 / $638.79 / $873.75	Professional		$638.79	$638.79	$873.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.58 / $950.01 / $1,713.25	Professional		$359.58	$950.01	$1,713.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.25 / $1,312.20 / $2,308.85	Professional		$946.25	$1,312.20	$2,308.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $492.08 / $1,213.50 / $2,081.75	Professional		$492.08	$1,213.50	$2,081.75
United Facility/Professional Professional Modifier Low / Median / High Price $362.39 / $1,048.50 / $3,999.82	Professional		$362.39	$1,048.50	$3,999.82