Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.79 / $51.79 / $51.79	Facility	26	$51.79	$51.79	$51.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $88.16 / $131.97	Professional		$64.15	$88.16	$131.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $123.80 / $208.07	Professional		$62.99	$123.80	$208.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.35 / $195.06 / $319.05	Professional		$107.35	$195.06	$319.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.60 / $267.50 / $428.00	Professional		$120.60	$267.50	$428.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.26 / $196.02 / $419.95	Professional		$80.26	$196.02	$419.95
United Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $192.70 / $375.34	Professional		$105.59	$192.70	$375.34