Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.08 / $123.08 / $123.08	Facility	26	$123.08	$123.08	$123.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $357.48 / $836.53	Professional		$289.41	$357.48	$836.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.49 / $831.49 / $930.14	Professional		$831.49	$831.49	$930.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $428.93 / $813.18 / $1,466.50	Professional		$428.93	$813.18	$1,466.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.50 / $1,150.20 / $1,533.54	Professional		$1,047.50	$1,150.20	$1,533.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $428.93 / $1,128.75 / $2,095.35	Professional		$428.93	$1,128.75	$2,095.35
United Facility/Professional Professional Modifier Low / Median / High Price $420.24 / $744.12 / $1,116.18	Professional		$420.24	$744.12	$1,116.18