Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $164.05 / $164.05 / $164.05	Facility	26	$164.05	$164.05	$164.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.72 / $331.12 / $404.94	Professional		$171.72	$331.12	$404.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.96 / $500.79 / $1,054.72	Professional		$356.96	$500.79	$1,054.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $782.64 / $971.37 / $2,231.09	Professional		$782.64	$971.37	$2,231.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,069.20 / $1,485.00 / $1,836.45	Professional		$1,069.20	$1,485.00	$1,836.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $1,054.72 / $1,789.20	Professional		$410.09	$1,054.72	$1,789.20
United Facility/Professional Professional Modifier Low / Median / High Price $364.50 / $843.78 / $1,799.07	Professional		$364.50	$843.78	$1,799.07