Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $180.47 / $180.47 / $180.47	Facility	26	$180.47	$180.47	$180.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.45 / $115.44 / $234.96	Professional		$97.45	$115.44	$234.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.27 / $67.43 / $147.57	Professional	26	$53.27	$67.43	$147.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.88 / $289.81 / $387.60	Professional		$245.88	$289.81	$387.60
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $151.03 / $173.78 / $234.69	Professional	26	$151.03	$173.78	$234.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $320.22 / $460.39	Professional		$266.85	$320.22	$460.39
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $156.08 / $187.29 / $293.27	Professional	26	$156.08	$187.29	$293.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $438.75 / $603.90	Professional		$162.00	$438.75	$603.90
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $88.66 / $241.92 / $343.57	Professional	26	$88.66	$241.92	$343.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.12 / $283.91 / $621.62	Professional		$142.12	$283.91	$621.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $97.00 / $241.25 / $378.30	Professional	26	$97.00	$241.25	$378.30
United Facility/Professional Professional Modifier Low / Median / High Price $285.26 / $310.08 / $669.42	Professional		$285.26	$310.08	$669.42
United Facility/Professional Professional Modifier 26 Low / Median / High Price $164.96 / $187.76 / $405.35	Professional	26	$164.96	$187.76	$405.35