Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.25 / $117.25 / $117.25	Facility	26	$117.25	$117.25	$117.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $105.31 / $177.68	Professional		$70.37	$105.31	$177.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.27 / $58.89 / $105.58	Professional	26	$38.27	$58.89	$105.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $101.01 / $480.85	Professional		$58.00	$101.01	$480.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.43 / $54.08 / $313.39	Professional	26	$38.43	$54.08	$313.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $193.31 / $237.58	Professional		$91.68	$193.31	$237.58
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.79 / $115.46 / $131.57	Professional	26	$76.79	$115.46	$131.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.28 / $224.40 / $367.82	Professional		$103.28	$224.40	$367.82
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $67.09 / $147.60 / $223.26	Professional	26	$67.09	$147.60	$223.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $166.50 / $360.75	Professional		$90.24	$166.50	$360.75
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.00 / $135.30 / $239.85	Professional	26	$63.00	$135.30	$239.85
United Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $186.74 / $337.74	Professional		$65.81	$186.74	$337.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.86 / $121.70 / $220.11	Professional	26	$66.86	$121.70	$220.11