Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $97.72	Professional		$45.71	$53.70	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $154.88	Professional		$47.86	$69.18	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $245.47	Professional		$81.28	$144.54	$245.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $288.40	Professional		$97.72	$194.98	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $154.88	Professional		$51.29	$74.13	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $125.89 / $302.00	Professional		$46.77	$125.89	$302.00