Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.96 / $125.96 / $125.96	Facility	26	$125.96	$125.96	$125.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.88 / $478.28 / $809.43	Professional		$427.88	$478.28	$809.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.79 / $518.79 / $681.19	Professional		$234.79	$518.79	$681.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $381.55 / $687.03 / $1,151.32	Professional		$381.55	$687.03	$1,151.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $728.75 / $885.00 / $1,152.27	Professional		$728.75	$885.00	$1,152.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.30 / $682.80 / $1,094.76	Professional		$244.30	$682.80	$1,094.76
United Facility/Professional Professional Modifier Low / Median / High Price $334.81 / $479.24 / $499.70	Professional		$334.81	$479.24	$499.70