Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $288.12 / $919.50	Facility		$18.43	$288.12	$919.50
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $123.55 / $823.53 / $974.87	Facility	25	$123.55	$823.53	$974.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.69 / $18.91 / $40.59	Professional		$7.69	$18.91	$40.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.98 / $34.61 / $81.34	Professional	25	$18.98	$34.61	$81.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $30.10 / $30.10	Facility		$30.10	$30.10	$30.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $29.00 / $69.00	Professional		$10.79	$29.00	$69.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $24.29 / $56.83	Facility		$11.37	$24.29	$56.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $56.60 / $92.00	Professional		$24.45	$56.60	$92.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $21.32 / $3,495.87	Facility		$21.32	$21.32	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $45.60 / $76.25	Professional		$21.00	$45.60	$76.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $24.29 / $56.83	Facility		$11.37	$24.29	$56.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $35.64 / $69.00	Professional		$18.51	$35.64	$69.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $59.28 / $74.38	Professional		$35.00	$59.28	$74.38