Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.84 / $71.84 / $71.84	Facility	26	$71.84	$71.84	$71.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $528.49 / $528.49 / $1,156.81	Professional		$528.49	$528.49	$1,156.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.77 / $516.77 / $577.87	Professional		$516.77	$516.77	$577.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.48 / $523.04 / $943.25	Professional		$266.48	$523.04	$943.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $673.75 / $737.10 / $986.37	Professional		$673.75	$737.10	$986.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.48 / $701.25 / $1,302.45	Professional		$266.48	$701.25	$1,302.45
United Facility/Professional Professional Modifier Low / Median / High Price $241.96 / $462.30 / $693.45	Professional		$241.96	$462.30	$693.45