Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $218.78	Facility	26	$93.33	$93.33	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $602.56	Professional		$223.87	$269.15	$602.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $38.02 / $100.00	Professional	26	$28.84	$38.02	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $676.08	Professional		$478.63	$478.63	$676.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $93.33 / $109.65	Professional	26	$93.33	$93.33	$109.65
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $645.65	Professional		$380.19	$602.56	$645.65
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $70.79 / $91.20	Professional	26	$48.98	$70.79	$91.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $831.76 / $1,122.02	Professional		$812.83	$831.76	$1,122.02
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $114.82 / $158.49	Professional	26	$109.65	$114.82	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $676.08	Professional		$218.78	$316.23	$676.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $29.51 / $41.69 / $109.65	Professional	26	$29.51	$41.69	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $549.54 / $812.83	Professional		$223.87	$549.54	$812.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $87.10 / $199.53	Professional	26	$41.69	$87.10	$199.53