Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,413.94 / $1,413.94 / $1,413.94	Facility	26	$1,413.94	$1,413.94	$1,413.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $740.75 / $2,927.22	Professional		$740.75	$740.75	$2,927.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $491.36 / $491.36 / $1,619.50	Professional	26	$491.36	$491.36	$1,619.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,498.53 / $2,498.53 / $2,761.43	Professional		$2,498.53	$2,498.53	$2,761.43
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $1,615.86 / $1,615.86 / $1,769.17	Professional	26	$1,615.86	$1,615.86	$1,769.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,143.33 / $2,722.92 / $4,910.50	Professional		$1,143.33	$2,722.92	$4,910.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $1,128.08 / $1,353.69 / $1,452.96	Professional	26	$1,128.08	$1,353.69	$1,452.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,008.75 / $3,730.05 / $7,341.35	Professional		$3,008.75	$3,730.05	$7,341.35
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $1,633.75 / $1,849.50 / $3,986.35	Professional	26	$1,633.75	$1,849.50	$3,986.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,645.69 / $3,453.75 / $6,619.25	Professional		$1,645.69	$3,453.75	$6,619.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $1,633.75 / $1,972.50 / $3,986.35	Professional	26	$1,633.75	$1,972.50	$3,986.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,100.46 / $3,313.71 / $12,641.14	Professional		$1,100.46	$3,313.71	$12,641.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $747.62 / $1,939.02 / $7,396.98	Professional	26	$747.62	$1,939.02	$7,396.98