Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.02 / $53.42 / $541.51	Professional		$46.02	$53.42	$541.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $29.83 / $110.67	Professional	26	$26.07	$29.83	$110.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $110.68 / $515.28 / $929.25	Professional		$110.68	$515.28	$929.25
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.83 / $92.19 / $98.95	Professional	26	$76.83	$92.19	$98.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.25 / $663.75 / $769.95	Professional		$291.25	$663.75	$769.95
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $111.25 / $126.90 / $173.85	Professional	26	$111.25	$126.90	$173.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $361.76 / $675.00	Professional		$158.02	$361.76	$675.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $111.25 / $136.50 / $204.68	Professional	26	$111.25	$136.50	$204.68
United Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $423.15 / $1,614.23	Professional		$104.00	$423.15	$1,614.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.72 / $133.13 / $507.91	Professional	26	$38.72	$133.13	$507.91