Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $732.55 / $732.55 / $732.55	Facility	26	$732.55	$732.55	$732.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.01 / $2,183.79 / $14,552.94	Professional		$1,138.01	$2,183.79	$14,552.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,104.62 / $2,104.62 / $3,117.36	Professional		$2,104.62	$2,104.62	$3,117.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,333.00 / $6,058.50 / $7,215.46	Professional		$2,333.00	$6,058.50	$7,215.46
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,606.25 / $4,183.25 / $5,918.00	Professional		$3,606.25	$4,183.25	$5,918.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,354.18 / $4,426.50 / $6,386.72	Professional		$1,354.18	$4,426.50	$6,386.72
United Facility/Professional Professional Modifier Low / Median / High Price $2,361.10 / $2,493.90 / $4,510.47	Professional		$2,361.10	$2,493.90	$4,510.47