Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $170.09 / $170.09 / $170.09	Facility	26	$170.09	$170.09	$170.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $131.91 / $285.97	Professional		$103.96	$131.91	$285.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.14 / $345.85 / $441.68	Professional		$296.14	$345.85	$441.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.25 / $363.90 / $512.16	Professional		$303.25	$363.90	$512.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.60 / $468.75 / $686.25	Professional		$192.60	$468.75	$686.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.25 / $348.61 / $642.00	Professional		$173.25	$348.61	$642.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.10 / $353.34 / $706.68	Professional		$340.10	$353.34	$706.68