Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $26.92 / $26.92	Facility	26	$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $54.95 / $91.20	Professional		$43.65	$54.95	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $147.91	Professional		$45.71	$67.61	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $125.89 / $223.87	Professional		$72.44	$125.89	$223.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $194.98 / $281.84	Professional		$97.72	$194.98	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $74.13 / $147.91	Professional		$51.29	$74.13	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $125.89 / $295.12	Professional		$46.77	$125.89	$295.12