Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $255.81 / $255.81 / $255.81	Facility	26	$255.81	$255.81	$255.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.25 / $179.57 / $373.91	Professional		$153.25	$179.57	$373.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.46 / $217.21 / $1,061.60	Professional		$142.46	$217.21	$1,061.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.23 / $422.24 / $517.21	Professional		$214.23	$422.24	$517.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $544.79 / $817.02	Professional		$245.30	$544.79	$817.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $198.45 / $396.86 / $844.56	Professional		$198.45	$396.86	$844.56
United Facility/Professional Professional Modifier Low / Median / High Price $236.12 / $412.28 / $745.65	Professional		$236.12	$412.28	$745.65