Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	26	$891.25	$891.25	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,318.26 / $2,454.71	Professional		$1,230.27	$1,318.26	$2,454.71
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $416.87 / $812.83	Professional	26	$331.13	$416.87	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,467.37	Professional		$2,398.83	$2,398.83	$3,467.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $794.33 / $794.33 / $1,148.15	Professional	26	$794.33	$794.33	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $8,128.31	Professional		$1,621.81	$3,235.94	$8,128.31
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $489.78 / $977.24 / $2,691.53	Professional	26	$489.78	$977.24	$2,691.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,466.84 / $6,309.57	Professional		$4,073.80	$4,466.84	$6,309.57
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $1,230.27 / $1,318.26 / $1,862.09	Professional	26	$1,230.27	$1,318.26	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,467.37	Professional		$1,071.52	$1,548.82	$3,467.37
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $467.74 / $1,148.15	Professional	26	$323.59	$467.74	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $5,128.61	Professional		$1,819.70	$2,691.53	$5,128.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $562.34 / $933.25 / $1,659.59	Professional	26	$562.34	$933.25	$1,659.59