Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $70.79 / $131.83	Professional		$38.02	$70.79	$131.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $85.11 / $87.10	Professional	25	$85.11	$85.11	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $63.10 / $158.49	Professional		$39.81	$63.10	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $102.33 / $162.18	Facility		$50.12	$102.33	$162.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $309.03	Professional		$87.10	$173.78	$309.03
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $85.11 / $87.10	Professional	25	$85.11	$85.11	$87.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $181.97 / $346.74	Professional		$74.13	$181.97	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $107.15 / $162.18	Facility		$50.12	$107.15	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $63.10 / $158.49	Professional		$51.29	$63.10	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $112.20 / $213.80	Professional		$44.67	$112.20	$213.80