Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.04 / $507.11 / $507.11	Professional		$224.04	$507.11	$507.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.58 / $243.51 / $243.51	Professional	26	$107.58	$243.51	$243.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $315.68 / $315.68 / $661.50	Professional		$315.68	$315.68	$661.50
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $148.31 / $148.31 / $148.31	Professional	26	$148.31	$148.31	$148.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.84 / $472.50 / $691.74	Professional		$250.84	$472.50	$691.74
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $105.62 / $192.50 / $281.82	Professional	26	$105.62	$192.50	$281.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.25 / $577.50 / $719.65	Professional		$466.25	$577.50	$719.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $190.00 / $238.50 / $296.00	Professional	26	$190.00	$238.50	$296.00
United Facility/Professional Professional Modifier Low / Median / High Price $507.57 / $507.57 / $507.57	Professional		$507.57	$507.57	$507.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $159.88 / $159.88 / $239.82	Professional	26	$159.88	$159.88	$239.82