Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $286.08 / $286.08 / $286.08	Facility	26	$286.08	$286.08	$286.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $250.00 / $250.00 / $528.29	Professional	26	$250.00	$250.00	$528.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $304.25 / $304.25 / $332.76	Professional	26	$304.25	$304.25	$332.76
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $218.35 / $262.02 / $281.23	Professional	26	$218.35	$262.02	$281.23
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $337.50 / $364.50 / $494.10	Professional	26	$337.50	$364.50	$494.10
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $322.80 / $396.00 / $626.09	Professional	26	$322.80	$396.00	$626.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $137.07 / $266.20 / $399.30	Professional	26	$137.07	$266.20	$399.30