Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $355.19 / $355.19 / $355.19	Facility	26	$355.19	$355.19	$355.19
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $250.00 / $499.84	Professional	26	$90.00	$250.00	$499.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $371.61 / $371.61 / $420.32	Professional	26	$371.61	$371.61	$420.32
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $272.52 / $327.02 / $351.01	Professional	26	$272.52	$327.02	$351.01
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $421.25 / $449.55 / $616.71	Professional	26	$421.25	$449.55	$616.71
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $403.20 / $505.50 / $772.33	Professional	26	$403.20	$505.50	$772.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.82 / $335.58 / $504.39	Professional	26	$165.82	$335.58	$504.39