Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $342.66 / $342.66 / $342.66	Facility	26	$342.66	$342.66	$342.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.84 / $102.84 / $377.37	Professional	26	$102.84	$102.84	$377.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $358.14 / $358.14 / $405.00	Professional	26	$358.14	$358.14	$405.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $263.63 / $316.35 / $339.55	Professional	26	$263.63	$316.35	$339.55
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $407.50 / $433.35 / $596.58	Professional	26	$407.50	$433.35	$596.58
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $388.80 / $486.00 / $775.88	Professional	26	$388.80	$486.00	$775.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $161.84 / $324.82 / $486.00	Professional	26	$161.84	$324.82	$486.00