Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.48 / $281.48 / $281.48	Facility	26	$281.48	$281.48	$281.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $250.00 / $250.00 / $524.91	Professional	26	$250.00	$250.00	$524.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $293.14 / $293.14 / $328.51	Professional	26	$293.14	$293.14	$328.51
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $214.30 / $257.16 / $276.02	Professional	26	$214.30	$257.16	$276.02
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $328.75 / $356.40 / $484.95	Professional	26	$328.75	$356.40	$484.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $320.39 / $394.50 / $605.53	Professional	26	$320.39	$394.50	$605.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $130.19 / $262.80 / $394.20	Professional	26	$130.19	$262.80	$394.20