Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $177.83 / $177.83	Facility	26	$177.83	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $323.59 / $630.96	Professional		$223.87	$323.59	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $691.83	Professional		$630.96	$630.96	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $630.96 / $676.08	Professional		$524.81	$630.96	$676.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $1,148.15	Professional		$812.83	$851.14	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $691.83	Professional		$218.78	$309.03	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $562.34 / $1,479.11	Professional		$436.52	$562.34	$1,479.11