Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $865.98 / $865.98 / $865.98	Facility	26	$865.98	$865.98	$865.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,765.77 / $2,765.77 / $2,765.77	Professional		$2,765.77	$2,765.77	$2,765.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,362.09 / $2,362.09 / $2,751.17	Professional		$2,362.09	$2,362.09	$2,751.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,229.30 / $2,663.73 / $4,803.75	Professional		$1,229.30	$2,663.73	$4,803.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,235.00 / $3,662.55 / $7,893.40	Professional		$3,235.00	$3,662.55	$7,893.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,828.54 / $3,391.25 / $7,117.00	Professional		$1,828.54	$3,391.25	$7,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,366.82 / $3,301.41 / $12,594.22	Professional		$1,366.82	$3,301.41	$12,594.22