Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.98 / $124.98 / $124.98	Facility	26	$124.98	$124.98	$124.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $62.51 / $140.11	Professional		$48.62	$62.51	$140.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.84 / $43.45 / $102.19	Professional	26	$34.84	$43.45	$102.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.66 / $158.22 / $210.31	Professional		$134.66	$158.22	$210.31
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $102.20 / $117.79 / $158.27	Professional	26	$102.20	$117.79	$158.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $188.25 / $277.58	Professional		$156.88	$188.25	$277.58
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.55 / $129.06 / $203.49	Professional	26	$107.55	$129.06	$203.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $232.50 / $329.41	Professional		$88.20	$232.50	$329.41
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.32 / $163.75 / $232.00	Professional	26	$60.32	$163.75	$232.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $160.19 / $289.50	Professional		$81.00	$160.19	$289.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $65.00 / $160.00 / $253.50	Professional	26	$65.00	$160.00	$253.50
United Facility/Professional Professional Modifier Low / Median / High Price $165.82 / $168.26 / $363.25	Professional		$165.82	$168.26	$363.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $113.41 / $126.62 / $253.24	Professional	26	$113.41	$126.62	$253.24