Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $359.11 / $359.11 / $359.11	Facility	26	$359.11	$359.11	$359.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $250.00 / $359.11	Professional	26	$90.00	$250.00	$359.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $376.23 / $376.23 / $425.41	Professional	26	$376.23	$376.23	$425.41
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $274.13 / $328.95 / $353.07	Professional	26	$274.13	$328.95	$353.07
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $423.75 / $453.60 / $620.37	Professional	26	$423.75	$453.60	$620.37
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $405.60 / $510.00 / $781.47	Professional	26	$405.60	$510.00	$781.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.56 / $340.32 / $510.48	Professional	26	$169.56	$340.32	$510.48