Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.18 / $189.18 / $189.18	Facility	26	$189.18	$189.18	$189.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $194.52 / $417.21	Professional		$158.94	$194.52	$417.21
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.06 / $74.95 / $158.09	Professional	26	$68.06	$74.95	$158.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.62 / $253.62 / $478.25	Professional		$146.62	$253.62	$478.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.84 / $103.94 / $230.76	Professional	26	$64.84	$103.94	$230.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.04 / $437.12 / $766.91	Professional		$214.04	$437.12	$766.91
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $125.71 / $194.07 / $373.62	Professional	26	$125.71	$194.07	$373.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.83 / $567.50 / $889.20	Professional		$259.83	$567.50	$889.20
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.23 / $235.20 / $372.40	Professional	26	$111.23	$235.20	$372.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.24 / $423.89 / $865.80	Professional		$185.24	$423.89	$865.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $97.50 / $230.76 / $382.20	Professional	26	$97.50	$230.76	$382.20
United Facility/Professional Professional Modifier Low / Median / High Price $158.27 / $398.66 / $860.65	Professional		$158.27	$398.66	$860.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.93 / $197.10 / $425.51	Professional	26	$67.93	$197.10	$425.51