Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $240.77 / $240.77 / $240.77	Facility	26	$240.77	$240.77	$240.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.86 / $154.91 / $319.69	Professional		$116.86	$154.91	$319.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $314.87 / $367.75 / $484.80	Professional		$314.87	$367.75	$484.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $427.95 / $616.25	Professional		$356.63	$427.95	$616.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.02 / $551.25 / $782.78	Professional		$207.02	$551.25	$782.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.54 / $379.39 / $679.50	Professional		$191.54	$379.39	$679.50
United Facility/Professional Professional Modifier Low / Median / High Price $387.84 / $389.22 / $837.29	Professional		$387.84	$389.22	$837.29