Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $263.64 / $263.64 / $263.64	Facility	26	$263.64	$263.64	$263.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.99 / $1,897.39 / $2,845.82	Professional		$796.99	$1,897.39	$2,845.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,785.17 / $1,785.17 / $2,108.42	Professional		$1,785.17	$1,785.17	$2,108.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $966.63 / $1,838.91 / $3,316.25	Professional		$966.63	$1,838.91	$3,316.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,368.75 / $2,635.20 / $3,467.85	Professional		$2,368.75	$2,635.20	$3,467.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.63 / $2,543.75 / $4,649.97	Professional		$966.63	$2,543.75	$4,649.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,079.77 / $1,681.80 / $2,530.11	Professional		$1,079.77	$1,681.80	$2,530.11