Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $122.78 / $122.78 / $122.78	Facility	26	$122.78	$122.78	$122.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $811.96 / $811.96 / $1,802.44	Professional		$811.96	$811.96	$1,802.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $903.57 / $903.57 / $935.91	Professional		$903.57	$903.57	$935.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $782.13 / $1,410.50	Professional		$418.00	$782.13	$1,410.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.50 / $1,115.09 / $1,474.98	Professional		$1,007.50	$1,115.09	$1,474.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $418.00 / $1,100.00 / $2,042.79	Professional		$418.00	$1,100.00	$2,042.79
United Facility/Professional Professional Modifier Low / Median / High Price $471.17 / $740.06 / $1,084.29	Professional		$471.17	$740.06	$1,084.29