Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.50 / $63.50 / $63.50	Facility	26	$63.50	$63.50	$63.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $80.93 / $152.81	Professional		$66.30	$80.93	$152.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.38 / $24.32 / $51.92	Professional	26	$22.38	$24.32	$51.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $115.74 / $204.48	Professional		$61.36	$115.74	$204.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.63 / $36.08 / $77.05	Professional	26	$20.63	$36.08	$77.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.82 / $190.20 / $317.48	Professional		$106.82	$190.20	$317.48
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $61.14 / $121.17	Professional	26	$42.77	$61.14	$121.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.88 / $255.60 / $395.85	Professional		$120.88	$255.60	$395.85
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $38.59 / $81.59 / $128.69	Professional	26	$38.59	$81.59	$128.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.87 / $191.70 / $394.05	Professional		$77.87	$191.70	$394.05
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.60 / $77.05 / $132.60	Professional	26	$30.60	$77.05	$132.60
United Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $186.50 / $402.63	Professional		$77.26	$186.50	$402.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.60 / $66.92 / $158.94	Professional	26	$22.60	$66.92	$158.94