Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.12 / $870.24 / $934.92	Facility		$568.12	$870.24	$934.92
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $571.34 / $934.92 / $1,094.66	Facility	25	$571.34	$934.92	$1,094.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $54.00 / $86.99	Professional		$27.05	$54.00	$86.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $85.36 / $197.69	Professional		$37.97	$85.36	$197.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $82.86 / $116.00	Facility		$70.43	$82.86	$116.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $121.29 / $164.19	Professional		$66.86	$121.29	$164.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $127.23 / $251.55	Professional		$93.00	$127.23	$251.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $82.86 / $116.00	Facility		$46.98	$82.86	$116.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $110.70 / $251.55	Professional		$48.35	$110.70	$251.55
United Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $121.94 / $185.96	Professional		$106.54	$121.94	$185.96