Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $629.04 / $629.04	Professional		$277.89	$629.04	$629.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.54 / $175.51 / $175.51	Professional	26	$77.54	$175.51	$175.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Professional		$120.51	$120.51	$120.51
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.09 / $52.09 / $52.09	Professional	26	$52.09	$52.09	$52.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.33 / $382.33 / $841.75	Professional		$382.33	$382.33	$841.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.79 / $104.79 / $104.79	Professional	26	$104.79	$104.79	$104.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.75 / $601.25 / $880.23	Professional		$144.75	$601.25	$880.23
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $48.56 / $137.50 / $201.30	Professional	26	$48.56	$137.50	$201.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.51 / $604.50 / $688.20	Professional		$120.51	$604.50	$688.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.09 / $138.75 / $209.05	Professional	26	$52.09	$138.75	$209.05
United Facility/Professional Professional Modifier Low / Median / High Price $333.82 / $333.82 / $500.73	Professional		$333.82	$333.82	$500.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.06 / $59.06 / $166.92	Professional	26	$59.06	$59.06	$166.92