Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $173.71 / $342.06	Professional		$81.69	$173.71	$342.06
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $230.00 / $230.00 / $230.00	Professional	25	$230.00	$230.00	$230.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $66.51 / $125.00	Professional		$50.00	$66.51	$125.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.34 / $153.21 / $264.58	Facility		$93.34	$153.21	$264.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $260.11 / $374.00	Professional		$163.33	$260.11	$374.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $245.30 / $467.50	Professional		$127.43	$245.30	$467.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.14 / $155.08 / $410.47	Facility		$65.14	$155.08	$410.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $192.10 / $408.10	Professional		$94.40	$192.10	$408.10
United Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $286.72 / $323.98	Professional		$93.45	$286.72	$323.98