Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $120.23 / $120.23	Facility	26	$120.23	$120.23	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $1,096.48	Professional		$229.09	$302.00	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $177.83 / $331.13	Professional		$85.11	$177.83	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $851.14	Professional		$501.19	$660.69	$851.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,479.11	Professional		$933.25	$1,096.48	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $245.47 / $354.81	Professional		$85.11	$245.47	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $630.96 / $1,000.00	Professional		$223.87	$630.96	$1,000.00