Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.65 / $109.65 / $109.65	Facility	26	$109.65	$109.65	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $630.96	Professional		$234.42	$275.42	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $707.95	Professional		$630.96	$630.96	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $524.81 / $676.08	Professional		$269.15	$524.81	$676.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $870.96 / $1,174.90	Professional		$851.14	$870.96	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $707.95	Professional		$229.09	$323.59	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $575.44 / $1,071.52	Professional		$281.84	$575.44	$1,071.52