Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.76 / $526.87 / $526.87	Professional		$232.76	$526.87	$526.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.41 / $120.90 / $120.90	Professional	26	$53.41	$120.90	$120.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $166.99 / $166.99	Professional		$166.99	$166.99	$166.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $35.54 / $35.54	Professional	26	$35.54	$35.54	$35.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $319.64 / $319.64 / $710.50	Professional		$319.64	$319.64	$710.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $73.75 / $73.75 / $73.75	Professional	26	$73.75	$73.75	$73.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $507.50 / $742.98	Professional		$113.16	$507.50	$742.98
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.25 / $97.50 / $142.74	Professional	26	$37.25	$97.50	$142.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $462.50 / $559.50	Professional		$166.99	$462.50	$559.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.54 / $97.50 / $144.30	Professional	26	$35.54	$97.50	$144.30
United Facility/Professional Professional Modifier Low / Median / High Price $402.21 / $402.21 / $402.21	Professional		$402.21	$402.21	$402.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.22 / $77.22 / $115.83	Professional	26	$77.22	$77.22	$115.83