Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $173.86 / $173.86 / $173.86	Facility	26	$173.86	$173.86	$173.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.29 / $634.29 / $1,331.65	Professional		$634.29	$634.29	$1,331.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.88 / $628.88 / $689.52	Professional		$628.88	$628.88	$689.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.23 / $608.42 / $1,097.25	Professional		$309.23	$608.42	$1,097.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $783.75 / $858.60 / $1,147.41	Professional		$783.75	$858.60	$1,147.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.23 / $813.75 / $1,505.82	Professional		$309.23	$813.75	$1,505.82
United Facility/Professional Professional Modifier Low / Median / High Price $438.28 / $551.62 / $827.43	Professional		$438.28	$551.62	$827.43