Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.16 / $116.16 / $116.16	Facility	26	$116.16	$116.16	$116.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.87 / $366.78 / $828.90	Professional		$296.87	$366.78	$828.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $857.81 / $857.81 / $925.05	Professional		$857.81	$857.81	$925.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.28 / $693.84 / $859.29	Professional		$441.28	$693.84	$859.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,031.25 / $1,139.40 / $1,509.75	Professional		$1,031.25	$1,139.40	$1,509.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.28 / $1,161.25 / $2,168.46	Professional		$441.28	$1,161.25	$2,168.46
United Facility/Professional Professional Modifier Low / Median / High Price $428.72 / $784.58 / $1,110.06	Professional		$428.72	$784.58	$1,110.06