Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.02 / $117.02 / $117.02	Facility	26	$117.02	$117.02	$117.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $183.31 / $786.97	Professional		$149.37	$183.31	$786.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $40.77 / $128.87	Professional	26	$34.96	$40.77	$128.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $791.21 / $791.21 / $879.66	Professional		$791.21	$791.21	$879.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $119.68 / $119.68 / $137.29	Professional	26	$119.68	$119.68	$137.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $408.98 / $770.49 / $1,389.50	Professional		$408.98	$770.49	$1,389.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.58 / $108.69 / $116.66	Professional	26	$90.58	$108.69	$116.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $992.50 / $1,090.80 / $1,453.02	Professional		$992.50	$1,090.80	$1,453.02
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.75 / $149.85 / $204.96	Professional	26	$138.75	$149.85	$204.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $408.98 / $1,076.25 / $2,010.80	Professional		$408.98	$1,076.25	$2,010.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $133.19 / $165.00 / $253.64	Professional	26	$133.19	$165.00	$253.64
United Facility/Professional Professional Modifier Low / Median / High Price $259.47 / $703.72 / $1,055.58	Professional		$259.47	$703.72	$1,055.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.20 / $109.84 / $164.76	Professional	26	$55.20	$109.84	$164.76