Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $177.83	Professional		$81.28	$97.72	$177.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $33.88 / $72.44	Professional	26	$28.84	$33.88	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $275.42	Professional		$85.11	$120.23	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.20 / $41.69 / $109.65	Professional	26	$30.20	$41.69	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $407.38	Professional		$131.83	$234.42	$407.38
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $93.33 / $213.80	Professional	26	$44.67	$93.33	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $489.78	Professional		$173.78	$338.84	$489.78
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $117.49 / $169.82	Professional	26	$61.66	$117.49	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $275.42	Professional		$89.13	$125.89	$275.42
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $31.62 / $41.69 / $117.49	Professional	26	$31.62	$41.69	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $537.03	Professional		$81.28	$223.87	$537.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.84 / $95.50 / $223.87	Professional	26	$28.84	$95.50	$223.87