Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.02 / $10.02 / $10.02	Facility	26	$10.02	$10.02	$10.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $59.56 / $148.69	Professional		$44.55	$59.56	$148.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $86.66 / $145.83	Professional		$45.22	$86.66	$145.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $138.08 / $218.15	Professional		$73.40	$138.08	$218.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $181.25 / $276.50	Professional		$81.76	$181.25	$276.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $126.40 / $292.30	Professional		$58.31	$126.40	$292.30
United Facility/Professional Professional Modifier Low / Median / High Price $86.49 / $128.40 / $251.85	Professional		$86.49	$128.40	$251.85