Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $216.56 / $216.56 / $216.56	Facility	26	$216.56	$216.56	$216.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $454.53 / $1,576.08	Professional		$369.25	$454.53	$1,576.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,127.20 / $1,127.20 / $1,369.08	Professional		$1,127.20	$1,127.20	$1,369.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $606.10 / $1,583.67 / $2,856.00	Professional		$606.10	$1,583.67	$2,856.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,595.00 / $2,207.25 / $3,891.80	Professional		$1,595.00	$2,207.25	$3,891.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $829.55 / $1,975.50 / $3,509.00	Professional		$829.55	$1,975.50	$3,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.54 / $1,642.89 / $6,267.30	Professional		$451.54	$1,642.89	$6,267.30