Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $48.98 / $89.13	Professional		$16.98	$48.98	$89.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $46.77 / $85.11	Professional	26	$16.98	$46.77	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $40.74 / $40.74	Professional	26	$40.74	$40.74	$40.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $128.82	Facility		$91.20	$91.20	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $134.90 / $151.36	Professional		$89.13	$134.90	$151.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $128.82 / $141.25	Professional	26	$52.48	$128.82	$141.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $199.53 / $269.15	Professional		$64.57	$199.53	$269.15
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $186.21 / $251.19	Professional	26	$64.57	$186.21	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $51.29 / $128.82	Facility		$8.91	$51.29	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $43.65	Professional		$17.38	$24.55	$43.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $17.38 / $24.55 / $40.74	Professional	26	$17.38	$24.55	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $51.29 / $79.43	Professional		$19.05	$51.29	$79.43
United Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $51.29 / $79.43	Professional	26	$19.05	$51.29	$79.43