Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.41 / $144.41 / $144.41	Facility	26	$144.41	$144.41	$144.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.37 / $92.82 / $188.56	Professional		$75.37	$92.82	$188.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.88 / $229.71 / $305.35	Professional		$198.88	$229.71	$305.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $257.16 / $368.97	Professional		$144.31	$257.16	$368.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $333.60 / $484.95	Professional		$125.10	$333.60	$484.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.54 / $228.42 / $432.00	Professional		$114.54	$228.42	$432.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.41 / $244.28 / $527.37	Professional		$229.41	$244.28	$527.37