Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.78 / $173.78 / $173.78	Facility	26	$173.78	$173.78	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $758.58	Professional		$181.97	$263.03	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $707.95	Professional		$575.44	$575.44	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $812.83	Professional		$630.96	$758.58	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,995.26	Professional		$933.25	$1,023.29	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $446.68 / $707.95	Professional		$218.78	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $851.14 / $3,311.31	Professional		$338.84	$851.14	$3,311.31