Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $153.54 / $153.54 / $153.54	Facility	26	$153.54	$153.54	$153.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,187.52 / $1,187.52 / $1,768.93	Professional		$1,187.52	$1,187.52	$1,768.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $594.65 / $1,205.44 / $1,488.26	Professional		$594.65	$1,205.44	$1,488.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $944.15 / $1,154.76 / $2,456.63	Professional		$944.15	$1,154.76	$2,456.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,487.50 / $1,765.40 / $2,786.00	Professional		$1,487.50	$1,765.40	$2,786.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $544.88 / $1,488.00 / $2,751.29	Professional		$544.88	$1,488.00	$2,751.29
United Facility/Professional Professional Modifier Low / Median / High Price $732.23 / $1,061.40 / $2,712.51	Professional		$732.23	$1,061.40	$2,712.51