Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.38 / $90.38 / $90.38	Facility	26	$90.38	$90.38	$90.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.13 / $118.04 / $177.91	Professional		$85.13	$118.04	$177.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.65 / $45.46 / $73.90	Professional	26	$31.65	$45.46	$73.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.09 / $146.54 / $276.14	Professional		$84.09	$146.54	$276.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.40 / $50.34 / $109.98	Professional	26	$30.40	$50.34	$109.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.66 / $260.07 / $435.88	Professional		$146.66	$260.07	$435.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.78 / $90.24 / $177.86	Professional	26	$62.78	$90.24	$177.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $328.80 / $507.00	Professional		$149.52	$328.80	$507.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $54.63 / $116.25 / $180.50	Professional	26	$54.63	$116.25	$180.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $243.00 / $504.16	Professional		$105.98	$243.00	$504.16
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.50 / $111.39 / $185.25	Professional	26	$47.50	$111.39	$185.25
United Facility/Professional Professional Modifier Low / Median / High Price $91.02 / $234.98 / $626.28	Professional		$91.02	$234.98	$626.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.06 / $94.98 / $225.58	Professional	26	$32.06	$94.98	$225.58