Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $628.42 / $628.42 / $628.42	Facility	26	$628.42	$628.42	$628.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $939.99 / $974.84 / $3,871.18	Professional		$939.99	$974.84	$3,871.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $260.88 / $291.61 / $1,232.55	Professional	26	$260.88	$291.61	$1,232.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.40 / $1,811.40 / $2,740.21	Professional		$1,811.40	$1,811.40	$2,740.21
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $574.72 / $574.72 / $821.70	Professional	26	$574.72	$574.72	$821.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.58 / $5,426.40 / $6,462.43	Professional		$2,089.58	$5,426.40	$6,462.43
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $562.83 / $874.83 / $1,916.72	Professional	26	$562.83	$874.83	$1,916.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,230.00 / $3,746.80 / $5,082.00	Professional		$3,230.00	$3,746.80	$5,082.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $870.00 / $1,009.20 / $1,480.00	Professional	26	$870.00	$1,009.20	$1,480.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,180.38 / $3,895.50 / $5,541.55	Professional		$1,180.38	$3,895.50	$5,541.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $831.60 / $1,051.50 / $1,663.62	Professional	26	$831.60	$1,051.50	$1,663.62
United Facility/Professional Professional Modifier Low / Median / High Price $2,017.80 / $2,192.16 / $3,964.75	Professional		$2,017.80	$2,192.16	$3,964.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $657.36 / $661.14 / $1,188.90	Professional	26	$657.36	$661.14	$1,188.90