Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $169.82 / $812.83	Facility		$51.29	$169.82	$812.83
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $208.93 / $363.08 / $660.69	Facility	25	$208.93	$363.08	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $208.93	Professional		$51.29	$85.11	$208.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $52.48 / $93.33 / $251.19	Professional	25	$52.48	$93.33	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $85.11 / $245.47	Professional		$56.23	$85.11	$245.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $208.93	Facility		$51.29	$97.72	$208.93
Moda Health Facility/Professional Facility Modifier 25 Low / Median / High Price $208.93 / $363.08 / $660.69	Facility	25	$208.93	$363.08	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $138.04 / $309.03	Professional		$61.66	$138.04	$309.03
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $47.86 / $91.20 / $234.42	Professional	25	$47.86	$91.20	$234.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $3,467.37	Facility		$162.18	$162.18	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $234.42	Professional		$114.82	$165.96	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $87.10 / $169.82	Facility		$50.12	$87.10	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $229.09	Professional		$60.26	$107.15	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $162.18 / $245.47	Professional		$53.70	$162.18	$245.47