Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.91 / $147.91 / $147.91	Facility	26	$147.91	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $213.80 / $323.59	Professional		$165.96	$213.80	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $630.96	Professional		$467.74	$489.78	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $501.19 / $831.76	Professional		$194.98	$501.19	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,000.00	Professional		$407.38	$776.25	$1,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $478.63 / $602.56	Professional		$218.78	$478.63	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $501.19 / $1,096.48	Professional		$158.49	$501.19	$1,096.48