Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $512.86	Professional		$181.97	$263.03	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $562.34	Professional		$501.19	$501.19	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $512.86 / $549.54	Professional		$371.54	$512.86	$549.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $933.25	Professional		$660.69	$707.95	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $562.34	Professional		$177.83	$251.19	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $446.68 / $776.25	Professional		$251.19	$446.68	$776.25