Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.05 / $155.05 / $155.05	Facility	26	$155.05	$155.05	$155.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.06 / $346.06 / $668.61	Professional		$244.06	$346.06	$668.61
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.65 / $56.89 / $126.79	Professional	26	$45.65	$56.89	$126.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $775.18 / $863.39 / $971.01	Professional		$775.18	$863.39	$971.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $129.72 / $148.72 / $200.59	Professional	26	$129.72	$148.72	$200.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $812.10 / $1,011.15 / $1,322.02	Professional		$812.10	$1,011.15	$1,322.02
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.25 / $161.10 / $252.18	Professional	26	$134.25	$161.10	$252.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.76 / $1,302.50 / $1,786.20	Professional		$480.76	$1,302.50	$1,786.20
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $76.31 / $207.50 / $303.77	Professional	26	$76.31	$207.50	$303.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.76 / $870.20 / $1,577.60	Professional		$434.76	$870.20	$1,577.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $83.00 / $206.64 / $350.00	Professional	26	$83.00	$206.64	$350.00
United Facility/Professional Professional Modifier Low / Median / High Price $764.10 / $776.80 / $1,553.60	Professional		$764.10	$776.80	$1,553.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $141.76 / $160.47 / $320.95	Professional	26	$141.76	$160.47	$320.95