Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $169.69 / $259.10	Facility		$48.84	$169.69	$259.10
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $224.15 / $224.15 / $233.12	Facility	25	$224.15	$224.15	$233.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.35 / $119.79 / $228.53	Professional		$62.35	$119.79	$228.53
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $62.49 / $174.07 / $504.70	Professional	25	$62.49	$174.07	$504.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.68 / $146.68 / $146.68	Facility		$146.68	$146.68	$146.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $164.80 / $378.87	Professional		$88.62	$164.80	$378.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.67 / $164.39 / $290.19	Facility		$92.67	$164.39	$290.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $198.13 / $292.14 / $479.47	Professional		$198.13	$292.14	$479.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.08 / $200.08 / $3,495.87	Facility		$200.08	$200.08	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.80 / $256.56 / $366.00	Professional		$170.80	$256.56	$366.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $159.72 / $290.19	Facility		$89.10	$159.72	$290.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.40 / $218.45 / $355.88	Professional		$104.40	$218.45	$355.88
United Facility/Professional Professional Modifier Low / Median / High Price $88.28 / $279.38 / $325.16	Professional		$88.28	$279.38	$325.16