Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $665.33 / $665.33 / $665.33	Facility	26	$665.33	$665.33	$665.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.75 / $394.94 / $630.82	Professional		$254.75	$394.94	$630.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $370.06 / $2,002.69	Professional		$241.70	$370.06	$2,002.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $374.78 / $761.14 / $873.60	Professional		$374.78	$761.14	$873.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $425.70 / $927.60 / $1,470.28	Professional		$425.70	$927.60	$1,470.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.80 / $692.56 / $1,507.35	Professional		$343.80	$692.56	$1,507.35
United Facility/Professional Professional Modifier Low / Median / High Price $490.27 / $777.74 / $1,322.16	Professional		$490.27	$777.74	$1,322.16