Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.05 / $114.05 / $114.05	Facility	26	$114.05	$114.05	$114.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $100.70 / $216.97	Professional		$77.98	$100.70	$216.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.35 / $262.19 / $332.41	Professional		$232.35	$262.19	$332.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.50 / $301.80 / $415.31	Professional		$251.50	$301.80	$415.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.78 / $388.75 / $563.54	Professional		$145.78	$388.75	$563.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $264.77 / $480.00	Professional		$131.00	$264.77	$480.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.44 / $265.92 / $531.84	Professional		$252.44	$265.92	$531.84