Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.32 / $94.32 / $94.32	Facility	26	$94.32	$94.32	$94.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $208.64 / $675.31	Professional		$169.28	$208.64	$675.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.87 / $507.87 / $765.20	Professional		$507.87	$507.87	$765.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.48 / $663.75 / $1,197.00	Professional		$266.48	$663.75	$1,197.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.25 / $940.95 / $1,251.72	Professional		$701.25	$940.95	$1,251.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.48 / $871.25 / $1,291.03	Professional		$266.48	$871.25	$1,291.03
United Facility/Professional Professional Modifier Low / Median / High Price $254.16 / $469.94 / $918.24	Professional		$254.16	$469.94	$918.24