Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $142.85 / $142.85 / $142.85	Facility	26	$142.85	$142.85	$142.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,045.70 / $1,045.70 / $1,576.50	Professional		$1,045.70	$1,045.70	$1,576.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.73 / $1,018.06 / $1,326.39	Professional		$528.73	$1,018.06	$1,326.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $839.98 / $1,026.69 / $2,161.83	Professional		$839.98	$1,026.69	$2,161.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,322.50 / $1,517.10 / $2,516.61	Professional		$1,322.50	$1,517.10	$2,516.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $479.51 / $1,309.20 / $2,515.16	Professional		$479.51	$1,309.20	$2,515.16
United Facility/Professional Professional Modifier Low / Median / High Price $617.09 / $964.22 / $2,478.16	Professional		$617.09	$964.22	$2,478.16