Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.69 / $382.79 / $879.03	Facility		$328.69	$382.79	$879.03
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $366.52 / $1,530.76 / $2,056.04	Facility	25	$366.52	$1,530.76	$2,056.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.29 / $63.41 / $149.28	Professional		$47.29	$63.41	$149.28
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $98.05 / $406.00 / $767.04	Professional	25	$98.05	$406.00	$767.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $146.47 / $335.15	Professional		$64.01	$146.47	$335.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.68 / $142.18 / $412.32	Facility		$116.68	$142.18	$412.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.77 / $204.75 / $325.26	Professional		$113.77	$204.75	$325.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $214.76 / $422.00	Professional		$139.68	$214.76	$422.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.04 / $142.18 / $199.05	Facility		$76.04	$142.18	$199.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $166.69 / $384.56	Professional		$81.67	$166.69	$384.56
United Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $183.34 / $274.17	Professional		$174.16	$183.34	$274.17