Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.61 / $75.61 / $75.61	Facility	26	$75.61	$75.61	$75.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.66 / $157.72 / $301.17	Professional		$98.66	$157.72	$301.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.09 / $364.93 / $396.23	Professional		$328.09	$364.93	$396.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $330.54 / $408.54 / $538.09	Professional		$330.54	$408.54	$538.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.16 / $526.25 / $719.55	Professional		$216.16	$526.25	$719.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.92 / $386.89 / $696.00	Professional		$180.92	$386.89	$696.00
United Facility/Professional Professional Modifier Low / Median / High Price $310.18 / $316.98 / $633.96	Professional		$310.18	$316.98	$633.96