Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	26	$194.98	$194.98	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $316.23	Professional		$144.54	$169.82	$316.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $72.44 / $154.88	Professional	26	$58.88	$72.44	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $208.93 / $478.63	Professional		$147.91	$208.93	$478.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $89.13 / $229.09	Professional	26	$64.57	$89.13	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $416.87 / $724.44	Professional		$213.80	$416.87	$724.44
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $194.98 / $338.84	Professional	26	$97.72	$194.98	$338.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $851.14	Professional		$295.12	$575.44	$851.14
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $128.82 / $245.47 / $363.08	Professional	26	$128.82	$245.47	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $478.63	Professional		$151.36	$213.80	$478.63
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $87.10 / $245.47	Professional	26	$64.57	$87.10	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $398.11 / $933.25	Professional		$144.54	$398.11	$933.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $194.98 / $426.58	Professional	26	$63.10	$194.98	$426.58