Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $323.59 / $323.59 / $323.59	Facility	26	$323.59	$323.59	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $588.84	Professional		$316.23	$416.87	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,202.26	Professional		$912.01	$954.99	$1,202.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $977.24 / $1,621.81	Professional		$407.38	$977.24	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,584.89 / $2,041.74	Professional		$812.83	$1,584.89	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $954.99 / $1,202.26	Professional		$446.68	$954.99	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $954.99 / $2,041.74	Professional		$190.55	$954.99	$2,041.74