Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	26	$363.08	$363.08	$363.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $141.25 / $363.08	Professional	26	$114.82	$141.25	$363.08
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $371.54 / $371.54 / $416.87	Professional	26	$371.54	$371.54	$416.87
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $275.42 / $354.81	Professional	26	$125.89	$275.42	$354.81
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $446.68 / $616.60	Professional	26	$426.58	$446.68	$616.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $162.18 / $416.87	Professional	26	$112.20	$162.18	$416.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $338.84 / $501.19	Professional	26	$165.96	$338.84	$501.19