Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.79 / $348.47 / $620.19	Facility		$233.79	$348.47	$620.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $507.49 / $4,831.39 / $4,831.39	Facility	25	$507.49	$4,831.39	$4,831.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $204.67 / $386.32	Professional		$100.42	$204.67	$386.32
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $126.60 / $283.44 / $522.78	Professional	25	$126.60	$283.44	$522.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.71 / $216.92 / $666.76	Professional		$124.71	$216.92	$666.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.32 / $278.77 / $472.01	Facility		$149.32	$278.77	$472.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.93 / $482.65 / $785.72	Professional		$346.93	$482.65	$785.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.78 / $351.78 / $3,495.87	Facility		$351.78	$351.78	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $376.80 / $552.66	Professional		$252.00	$376.80	$552.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.30 / $278.77 / $472.01	Facility		$128.30	$278.77	$472.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.81 / $340.30 / $536.25	Professional		$168.81	$340.30	$536.25
United Facility/Professional Professional Modifier Low / Median / High Price $294.54 / $384.90 / $456.23	Professional		$294.54	$384.90	$456.23