Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $794.33	Professional		$288.40	$338.84	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $43.65 / $128.82	Professional	26	$37.15	$43.65	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $870.96	Professional		$794.33	$794.33	$870.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $120.23 / $138.04	Professional	26	$120.23	$120.23	$138.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $645.65 / $831.76	Professional		$338.84	$645.65	$831.76
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $91.20 / $117.49	Professional	26	$51.29	$91.20	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,096.48 / $1,445.44	Professional		$1,071.52	$1,096.48	$1,445.44
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $151.36 / $204.17	Professional	26	$138.04	$151.36	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $870.96	Professional		$288.40	$407.38	$870.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $52.48 / $138.04	Professional	26	$37.15	$52.48	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $724.44 / $1,047.13	Professional		$257.04	$724.44	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $109.65 / $165.96	Professional	26	$54.95	$109.65	$165.96