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 $60.32 / $74.51 / $152.80	Professional		$60.32	$74.51	$152.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.32 / $24.68 / $43.84	Professional	26	$18.32	$24.68	$43.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $189.15 / $237.28	Professional		$136.86	$189.15	$237.28
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.68 / $51.28 / $68.83	Professional	26	$33.68	$51.28	$68.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $175.83 / $213.48 / $245.34	Professional		$175.83	$213.48	$245.34
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 $203.00 / $319.00 / $419.98	Professional		$203.00	$319.00	$419.98
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.00 / $76.95 / $111.15	Professional	26	$56.00	$76.95	$111.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $334.50 / $447.30	Professional		$104.45	$334.50	$447.30
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $45.04 / $84.00 / $119.70	Professional	26	$45.04	$84.00	$119.70
United Facility/Professional Professional Modifier Low / Median / High Price $180.92 / $189.82 / $332.19	Professional		$180.92	$189.82	$332.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.06 / $55.06 / $110.12	Professional	26	$55.06	$55.06	$110.12