Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $984.09 / $984.09 / $984.09	Facility	26	$984.09	$984.09	$984.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,338.23 / $1,880.38 / $13,413.92	Professional		$1,338.23	$1,880.38	$13,413.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $399.48 / $456.52 / $8,774.10	Professional	26	$399.48	$456.52	$8,774.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.69 / $2,578.69 / $3,883.93	Professional		$2,578.69	$2,578.69	$3,883.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $880.75 / $880.75 / $1,285.55	Professional	26	$880.75	$880.75	$1,285.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,875.60 / $7,467.60 / $8,933.60	Professional		$2,875.60	$7,467.60	$8,933.60
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $882.25 / $1,369.56 / $2,996.96	Professional	26	$882.25	$1,369.56	$2,996.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,445.00 / $5,156.20 / $7,224.00	Professional		$4,445.00	$5,156.20	$7,224.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $1,363.75 / $1,581.95 / $2,268.00	Professional	26	$1,363.75	$1,581.95	$2,268.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,676.64 / $5,494.50 / $7,894.20	Professional		$1,676.64	$5,494.50	$7,894.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $1,303.20 / $1,642.50 / $2,610.86	Professional	26	$1,303.20	$1,642.50	$2,610.86
United Facility/Professional Professional Modifier Low / Median / High Price $2,916.64 / $3,107.14 / $5,619.59	Professional		$2,916.64	$3,107.14	$5,619.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $626.64 / $1,035.92 / $1,860.04	Professional	26	$626.64	$1,035.92	$1,860.04