Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.60 / $147.60 / $147.60	Facility	26	$147.60	$147.60	$147.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $252.81 / $647.58	Professional		$252.60	$252.81	$647.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.80 / $60.34 / $155.19	Professional	26	$58.80	$60.34	$155.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.84 / $483.65 / $883.42	Professional		$208.84	$483.65	$883.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.68 / $122.48 / $187.67	Professional	26	$53.68	$122.48	$187.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $774.66 / $943.23 / $1,709.35	Professional		$774.66	$943.23	$1,709.35
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $129.38 / $155.25 / $447.40	Professional	26	$129.38	$155.25	$447.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $806.40 / $1,138.05 / $1,439.10	Professional		$806.40	$1,138.05	$1,439.10
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $195.00 / $214.65 / $296.30	Professional	26	$195.00	$214.65	$296.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.58 / $768.00 / $1,248.06	Professional		$348.58	$768.00	$1,248.06
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $154.65 / $231.00 / $296.30	Professional	26	$154.65	$231.00	$296.30
United Facility/Professional Professional Modifier Low / Median / High Price $369.43 / $567.00 / $663.30	Professional		$369.43	$567.00	$663.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.58 / $150.13 / $156.22	Professional	26	$83.58	$150.13	$156.22