Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $954.99	Professional		$288.40	$407.38	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,071.52	Professional		$954.99	$954.99	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,000.00	Professional		$489.78	$776.25	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,737.80	Professional		$1,288.25	$1,318.26	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,071.52	Professional		$338.84	$489.78	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $870.96 / $1,258.93	Professional		$416.87	$870.96	$1,258.93