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 $1,097.14 / $1,097.14 / $1,097.14	Professional		$1,097.14	$1,097.14	$1,097.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.56 / $889.56 / $1,068.56	Professional		$889.56	$889.56	$1,068.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $481.65 / $1,072.29 / $1,933.75	Professional		$481.65	$1,072.29	$1,933.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,267.50 / $1,483.65 / $3,092.70	Professional		$1,267.50	$1,483.65	$3,092.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $706.71 / $1,373.75 / $2,788.50	Professional		$706.71	$1,373.75	$2,788.50
United Facility/Professional Professional Modifier Low / Median / High Price $527.95 / $854.88 / $4,891.57	Professional		$527.95	$854.88	$4,891.57