Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $287.83 / $287.83 / $287.83	Facility	26	$287.83	$287.83	$287.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.82 / $225.81 / $478.69	Professional		$172.82	$225.81	$478.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.94 / $591.50 / $777.62	Professional		$500.94	$591.50	$777.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $536.95 / $644.34 / $902.02	Professional		$536.95	$644.34	$902.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.50 / $830.00 / $1,088.00	Professional		$357.50	$830.00	$1,088.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.80 / $587.12 / $1,088.00	Professional		$296.80	$587.12	$1,088.00
United Facility/Professional Professional Modifier Low / Median / High Price $598.85 / $622.10 / $1,244.20	Professional		$598.85	$622.10	$1,244.20