Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.67 / $1,823.65 / $1,823.65	Professional		$805.67	$1,823.65	$1,823.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $153.37 / $347.16 / $347.16	Professional	26	$153.37	$347.16	$347.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $461.22 / $461.22 / $461.22	Professional		$461.22	$461.22	$461.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.89 / $101.89 / $101.89	Professional	26	$101.89	$101.89	$101.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,149.22 / $1,149.22 / $2,583.00	Professional		$1,149.22	$1,149.22	$2,583.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $212.14 / $212.14 / $212.14	Professional	26	$212.14	$212.14	$212.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $924.61 / $1,845.00 / $2,701.08	Professional		$924.61	$1,845.00	$2,701.08
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $100.90 / $281.25 / $411.75	Professional	26	$100.90	$281.25	$411.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $461.22 / $1,816.25 / $1,860.00	Professional		$461.22	$1,816.25	$1,860.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $101.89 / $278.75 / $410.70	Professional	26	$101.89	$278.75	$410.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.30 / $1,380.30 / $1,380.30	Professional		$1,380.30	$1,380.30	$1,380.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $328.98 / $328.98 / $328.98	Professional	26	$328.98	$328.98	$328.98