Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.86 / $138.86 / $138.86	Facility	26	$138.86	$138.86	$138.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.12 / $215.12 / $638.62	Professional		$215.12	$215.12	$638.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.65 / $622.65 / $700.76	Professional		$622.65	$622.65	$700.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $317.77 / $618.15 / $1,114.75	Professional		$317.77	$618.15	$1,114.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.25 / $870.75 / $1,165.71	Professional		$796.25	$870.75	$1,165.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $317.77 / $836.25 / $1,556.09	Professional		$317.77	$836.25	$1,556.09
United Facility/Professional Professional Modifier Low / Median / High Price $332.15 / $560.60 / $840.90	Professional		$332.15	$560.60	$840.90