Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $229.09	Professional		$151.36	$190.55	$229.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $36.31 / $52.48	Professional	26	$28.84	$36.31	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $35.48 / $35.48	Professional	26	$35.48	$35.48	$35.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $691.83	Professional		$169.82	$316.23	$691.83
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $74.13 / $74.13	Professional	26	$36.31	$74.13	$74.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $562.34 / $741.31	Professional		$112.20	$562.34	$741.31
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $117.49 / $141.25	Professional	26	$37.15	$117.49	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $35.48 / $35.48	Professional	26	$35.48	$35.48	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $269.15 / $398.11	Professional		$114.82	$269.15	$398.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.18 / $77.62 / $114.82	Professional	26	$28.18	$77.62	$114.82