Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $345.69 / $345.69 / $345.69	Facility	26	$345.69	$345.69	$345.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $830.24 / $865.31 / $4,576.22	Professional		$830.24	$865.31	$4,576.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,567.37 / $1,567.37 / $2,480.59	Professional		$1,567.37	$1,567.37	$2,480.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,981.23 / $5,110.22 / $6,039.35	Professional		$1,981.23	$5,110.22	$6,039.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,062.50 / $3,552.50 / $4,606.06	Professional		$3,062.50	$3,552.50	$4,606.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,051.65 / $3,591.00 / $4,924.22	Professional		$1,051.65	$3,591.00	$4,924.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,717.34 / $1,984.48 / $3,589.14	Professional		$1,717.34	$1,984.48	$3,589.14