Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.20 / $77.20 / $77.20	Facility	26	$77.20	$77.20	$77.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.50 / $163.06 / $343.19	Professional		$100.50	$163.06	$343.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.10 / $377.35 / $414.99	Professional		$354.10	$377.35	$414.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.52 / $446.37 / $585.27	Professional		$359.52	$446.37	$585.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.05 / $575.00 / $818.20	Professional		$247.05	$575.00	$818.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.96 / $442.20 / $798.00	Professional		$201.96	$442.20	$798.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.80 / $332.00 / $564.75	Professional		$315.80	$332.00	$564.75