Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.69 / $138.69 / $138.69	Facility	26	$138.69	$138.69	$138.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $100.77 / $230.24	Professional		$90.20	$100.77	$230.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.69 / $281.32 / $373.57	Professional		$258.69	$281.32	$373.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $267.68 / $321.20 / $447.86	Professional		$267.68	$321.20	$447.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $420.00 / $605.73	Professional		$157.50	$420.00	$605.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $144.19 / $285.10 / $552.00	Professional		$144.19	$285.10	$552.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.82 / $298.86 / $597.72	Professional		$287.82	$298.86	$597.72