Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $275.33 / $275.33 / $275.33	Facility	26	$275.33	$275.33	$275.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $250.00 / $291.50	Professional	26	$90.00	$250.00	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $285.35 / $285.35 / $326.47	Professional	26	$285.35	$285.35	$326.47
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $209.45 / $251.34 / $269.77	Professional	26	$209.45	$251.34	$269.77
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $323.75 / $348.30 / $473.97	Professional	26	$323.75	$348.30	$473.97
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $310.80 / $393.00 / $598.66	Professional	26	$310.80	$393.00	$598.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $139.02 / $260.74 / $391.77	Professional	26	$139.02	$260.74	$391.77