Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $436.52 / $524.81	Facility		$93.33	$436.52	$524.81
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	25	$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $616.60	Professional		$141.25	$208.93	$616.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $177.83 / $489.78 / $1,000.00	Professional	25	$177.83	$489.78	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $263.03 / $707.95	Professional		$169.82	$263.03	$707.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $269.15 / $467.74	Facility		$151.36	$269.15	$467.74
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	25	$234.42	$234.42	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $398.11 / $812.83	Professional		$173.78	$398.11	$812.83
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $177.83 / $407.38 / $851.14	Professional	25	$177.83	$407.38	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $3,467.37	Facility		$446.68	$446.68	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $645.65	Professional		$354.81	$478.63	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $457.09	Facility		$147.91	$245.47	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $588.84	Professional		$158.49	$295.12	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $524.81 / $707.95	Professional		$169.82	$524.81	$707.95