Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $320.25 / $320.25 / $320.25	Facility	26	$320.25	$320.25	$320.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $250.00 / $291.50	Professional	26	$90.00	$250.00	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $335.97 / $335.97 / $375.73	Professional	26	$335.97	$335.97	$375.73
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $243.40 / $292.08 / $313.50	Professional	26	$243.40	$292.08	$313.50
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $376.25 / $403.65 / $550.83	Professional	26	$376.25	$403.65	$550.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $363.60 / $451.50 / $696.93	Professional	26	$363.60	$451.50	$696.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $149.87 / $300.58 / $450.87	Professional	26	$149.87	$300.58	$450.87