Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $300.22 / $300.22 / $300.22	Facility	26	$300.22	$300.22	$300.22
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $120.25 / $249.94 / $312.27	Facility	53	$120.25	$249.94	$312.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.88 / $363.47 / $601.27	Professional		$352.88	$363.47	$601.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $114.44 / $196.24 / $827.45	Professional	26	$114.44	$196.24	$827.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.37 / $489.44 / $776.79	Professional		$285.37	$489.44	$776.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $118.58 / $156.46 / $390.28	Professional	26	$118.58	$156.46	$390.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $563.65 / $676.38 / $1,412.43	Professional		$563.65	$676.38	$1,412.43
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $252.30 / $302.76 / $708.82	Professional	26	$252.30	$302.76	$708.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.04 / $975.80 / $1,275.51	Professional		$851.04	$975.80	$1,275.51
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $325.60 / $419.85 / $570.96	Professional	26	$325.60	$419.85	$570.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.18 / $759.24 / $1,252.80	Professional		$326.18	$759.24	$1,252.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $222.06 / $466.50 / $619.20	Professional	26	$222.06	$466.50	$619.20
United Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $621.44 / $1,009.84	Professional		$419.55	$621.44	$1,009.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $98.77 / $312.22 / $468.33	Professional	26	$98.77	$312.22	$468.33