Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.11 / $65.11 / $65.11	Facility	26	$65.11	$65.11	$65.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $250.57 / $259.54	Professional		$151.36	$250.57	$259.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.36 / $53.24 / $53.24	Professional	26	$25.36	$53.24	$53.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.99 / $218.88 / $453.91	Professional		$140.99	$218.88	$453.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.58 / $36.26 / $85.55	Professional	26	$23.58	$36.26	$85.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.03 / $420.18 / $807.70	Professional		$337.03	$420.18	$807.70
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $66.00 / $152.31	Professional	26	$55.00	$66.00	$152.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.96 / $589.95 / $792.39	Professional		$471.96	$589.95	$792.39
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.68 / $93.15 / $127.27	Professional	26	$76.68	$93.15	$127.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.66 / $430.45 / $783.32	Professional		$183.66	$430.45	$783.32
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $44.26 / $102.95 / $136.60	Professional	26	$44.26	$102.95	$136.60
United Facility/Professional Professional Modifier Low / Median / High Price $231.87 / $363.14 / $726.28	Professional		$231.87	$363.14	$726.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.03 / $68.44 / $136.88	Professional	26	$36.03	$68.44	$136.88