Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.60 / $53.60 / $53.60	Facility	26	$53.60	$53.60	$53.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.80 / $142.78 / $142.78	Professional		$70.80	$142.78	$142.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.32 / $43.84 / $43.84	Professional	26	$18.32	$43.84	$43.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.38 / $181.74 / $231.23	Professional		$127.38	$181.74	$231.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $52.03 / $69.84	Professional	26	$33.68	$52.03	$69.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $197.97 / $228.57	Professional		$163.81	$197.97	$228.57
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.10 / $55.32 / $74.37	Professional	26	$46.10	$55.32	$74.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.00 / $295.80 / $407.55	Professional		$211.00	$295.80	$407.55
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.00 / $76.95 / $111.15	Professional	26	$58.00	$76.95	$111.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.18 / $322.50 / $438.90	Professional		$101.18	$322.50	$438.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $46.30 / $85.50 / $119.70	Professional	26	$46.30	$85.50	$119.70
United Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $184.98 / $369.96	Professional		$184.73	$184.98	$369.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $55.86 / $111.72	Professional	26	$48.98	$55.86	$111.72