Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $213.79 / $213.79 / $213.79	Facility	26	$213.79	$213.79	$213.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.09 / $799.42 / $1,163.39	Professional		$370.09	$799.42	$1,163.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $802.93 / $802.93 / $879.73	Professional		$802.93	$802.93	$879.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $395.20 / $763.71 / $1,377.25	Professional		$395.20	$763.71	$1,377.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $983.75 / $1,085.40 / $1,440.21	Professional		$983.75	$1,085.40	$1,440.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $395.20 / $1,040.00 / $1,933.11	Professional		$395.20	$1,040.00	$1,933.11
United Facility/Professional Professional Modifier Low / Median / High Price $532.72 / $703.78 / $1,055.67	Professional		$532.72	$703.78	$1,055.67