Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.96 / $61.96 / $61.96	Facility	26	$61.96	$61.96	$61.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $74.25 / $121.00	Professional		$47.88	$74.25	$121.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.10 / $31.36 / $55.80	Professional	26	$20.10	$31.36	$55.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $69.72 / $312.00	Professional		$33.86	$69.72	$312.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.61 / $28.16 / $167.39	Professional	26	$20.61	$28.16	$167.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.95 / $128.19 / $161.88	Professional		$57.95	$128.19	$161.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $60.89 / $69.38	Professional	26	$40.50	$60.89	$69.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $152.50 / $250.64	Professional		$70.20	$152.50	$250.64
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $34.08 / $79.20 / $117.12	Professional	26	$34.08	$79.20	$117.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $100.47 / $240.00	Professional		$51.00	$100.47	$240.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.50 / $78.00 / $128.69	Professional	26	$32.50	$78.00	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $121.16 / $205.97	Professional		$53.06	$121.16	$205.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.38 / $65.00 / $110.50	Professional	26	$32.38	$65.00	$110.50