Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.67 / $100.67 / $100.67	Facility	26	$100.67	$100.67	$100.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.63 / $242.67 / $337.60	Professional		$146.63	$242.67	$337.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.66 / $239.70 / $479.72	Professional		$143.66	$239.70	$479.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.80 / $440.55 / $880.92	Professional		$361.80	$440.55	$880.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $487.30 / $629.10 / $830.82	Professional		$487.30	$629.10	$830.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.74 / $455.70 / $798.00	Professional		$171.74	$455.70	$798.00
United Facility/Professional Professional Modifier Low / Median / High Price $178.00 / $383.78 / $694.11	Professional		$178.00	$383.78	$694.11