Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.68 / $123.68 / $363.94	Facility	26	$123.68	$123.68	$363.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $1,091.76 / $1,190.83	Professional		$157.34	$1,091.76	$1,190.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $175.81 / $331.15	Professional		$84.87	$175.81	$331.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $353.40 / $780.21 / $1,407.00	Professional		$353.40	$780.21	$1,407.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.00 / $1,100.25 / $1,471.32	Professional		$930.00	$1,100.25	$1,471.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $1,018.75 / $1,702.33	Professional		$175.81	$1,018.75	$1,702.33
United Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $662.30 / $993.45	Professional		$221.79	$662.30	$993.45