Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	26	$28.18	$28.18	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $229.09	Professional		$83.18	$100.00	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $239.88	Professional		$213.80	$213.80	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $257.04	Professional		$125.89	$199.53	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $446.68	Professional		$302.00	$331.13	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $239.88	Professional		$77.62	$112.20	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $288.40	Professional		$128.82	$194.98	$288.40