Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.88 / $765.15 / $926.10	Facility		$554.88	$765.15	$926.10
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $368.96 / $4,283.22 / $6,802.60	Facility	25	$368.96	$4,283.22	$6,802.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.94 / $112.06 / $274.20	Professional		$77.94	$112.06	$274.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $143.38 / $384.00 / $998.28	Professional	25	$143.38	$384.00	$998.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.42 / $246.67 / $570.37	Professional		$109.42	$246.67	$570.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.65 / $240.76 / $698.20	Facility		$204.65	$240.76	$698.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.96 / $349.35 / $554.51	Professional		$191.96	$349.35	$554.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.25 / $366.41 / $718.00	Professional		$266.25	$366.41	$718.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.01 / $240.76 / $337.06	Facility		$139.01	$240.76	$337.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.69 / $315.39 / $709.80	Professional		$157.69	$315.39	$709.80
United Facility/Professional Professional Modifier Low / Median / High Price $307.60 / $335.54 / $422.29	Professional		$307.60	$335.54	$422.29