Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $263.41 / $263.41 / $263.41	Facility	26	$263.41	$263.41	$263.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $151.16 / $431.83	Professional		$126.29	$151.16	$431.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.99 / $393.99 / $453.33	Professional		$393.99	$393.99	$453.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.73 / $392.04 / $707.00	Professional		$185.73	$392.04	$707.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $488.75 / $541.35 / $739.32	Professional		$488.75	$541.35	$739.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $501.25 / $891.15	Professional		$275.33	$501.25	$891.15
United Facility/Professional Professional Modifier Low / Median / High Price $230.81 / $362.66 / $543.99	Professional		$230.81	$362.66	$543.99