Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.00 / $92.00 / $216.38	Facility	26	$92.00	$92.00	$216.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $196.63 / $609.40	Professional		$159.55	$196.63	$609.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.76 / $31.22 / $101.33	Professional	26	$26.76	$31.22	$101.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.19 / $482.19 / $680.60	Professional		$482.19	$482.19	$680.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.27 / $94.27 / $108.90	Professional	26	$94.27	$94.27	$108.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.93 / $590.01 / $1,064.00	Professional		$314.93	$590.01	$1,064.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.34 / $84.42 / $90.61	Professional	26	$70.34	$84.42	$90.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $837.00 / $1,112.64	Professional		$760.00	$837.00	$1,112.64
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $108.75 / $116.10 / $159.21	Professional	26	$108.75	$116.10	$159.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.93 / $828.75 / $1,546.95	Professional		$314.93	$828.75	$1,546.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $105.60 / $132.00 / $203.37	Professional	26	$105.60	$132.00	$203.37
United Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $544.48 / $816.72	Professional		$221.79	$544.48	$816.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.92 / $87.12 / $130.68	Professional	26	$41.92	$87.12	$130.68