Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.54 / $63.54 / $63.54	Facility	26	$63.54	$63.54	$63.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.88 / $511.88 / $1,130.11	Professional		$511.88	$511.88	$1,130.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.80 / $491.80 / $563.03	Professional		$491.80	$491.80	$563.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $509.46 / $918.75	Professional		$260.77	$509.46	$918.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.25 / $715.50 / $960.75	Professional		$656.25	$715.50	$960.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.77 / $686.25 / $1,268.18	Professional		$260.77	$686.25	$1,268.18
United Facility/Professional Professional Modifier Low / Median / High Price $217.55 / $450.42 / $675.63	Professional		$217.55	$450.42	$675.63