Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $117.49 / $117.49	Facility	26	$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $85.11 / $177.83	Professional		$70.79	$85.11	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $47.86 / $104.71	Professional	26	$40.74	$47.86	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $234.42	Professional		$70.79	$93.33	$234.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $53.70 / $151.36	Professional	26	$40.74	$53.70	$151.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $199.53 / $257.04	Professional		$104.71	$199.53	$257.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $109.65 / $151.36	Professional	26	$58.88	$109.65	$151.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $363.08	Professional		$120.23	$263.03	$363.08
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $147.91 / $213.80	Professional	26	$70.79	$147.91	$213.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $234.42	Professional		$70.79	$100.00	$234.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $56.23 / $151.36	Professional	26	$40.74	$56.23	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $186.21 / $194.98	Professional		$69.18	$186.21	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $123.03 / $123.03	Professional	26	$45.71	$123.03	$123.03