Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $205.25 / $205.25 / $205.25	Facility	26	$205.25	$205.25	$205.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.86 / $797.67 / $1,006.31	Professional		$331.86	$797.67	$1,006.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $59.90 / $226.04	Professional	26	$59.90	$59.90	$226.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $989.57 / $989.57 / $1,103.60	Professional		$989.57	$989.57	$1,103.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $211.05 / $211.05 / $241.21	Professional	26	$211.05	$211.05	$241.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $964.56 / $1,739.50	Professional		$503.50	$964.56	$1,739.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $155.28 / $186.33 / $199.99	Professional	26	$155.28	$186.33	$199.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,242.50 / $1,367.55 / $1,819.02	Professional		$1,242.50	$1,367.55	$1,819.02
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $240.00 / $259.20 / $351.36	Professional	26	$240.00	$259.20	$351.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.50 / $1,325.00 / $2,454.09	Professional		$503.50	$1,325.00	$2,454.09
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $232.80 / $289.50 / $443.29	Professional	26	$232.80	$289.50	$443.29
United Facility/Professional Professional Modifier Low / Median / High Price $447.82 / $882.90 / $1,324.35	Professional		$447.82	$882.90	$1,324.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $94.44 / $192.84 / $289.47	Professional	26	$94.44	$192.84	$289.47