Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $114.82	Professional		$40.74	$57.54	$114.82
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.95 / $23.99 / $52.48	Professional	26	$19.95	$23.99	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $141.25	Professional		$42.66	$54.95	$141.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $27.54 / $75.86	Professional	26	$20.42	$27.54	$75.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $128.82 / $173.78	Professional		$61.66	$128.82	$173.78
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $58.88 / $97.72	Professional	26	$28.84	$58.88	$97.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $165.96 / $218.78	Professional		$70.79	$165.96	$218.78
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $72.44 / $107.15	Professional	26	$35.48	$72.44	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $141.25	Professional		$45.71	$67.61	$141.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $28.18 / $75.86	Professional	26	$20.42	$28.18	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $112.20 / $169.82	Professional		$42.66	$112.20	$169.82
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.89 / $60.26 / $95.50	Professional	26	$20.89	$60.26	$95.50