Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $158.49	Professional		$83.18	$95.50	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $229.09 / $302.00	Professional		$199.53	$229.09	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $426.58	Professional		$91.20	$251.19	$426.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $467.74	Professional		$186.21	$363.08	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $281.84	Professional		$102.33	$223.87	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $524.81	Professional		$120.23	$245.47	$524.81