Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.06 / $298.91 / $2,472.89	Facility		$226.06	$298.91	$2,472.89
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $510.39 / $2,278.10 / $7,141.32	Facility	25	$510.39	$2,278.10	$7,141.32
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $160.51 / $407.73 / $800.95	Professional	25	$160.51	$407.73	$800.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.90 / $251.19 / $321.52	Facility		$174.90	$251.19	$321.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,276.07 / $1,276.07 / $1,276.07	Facility		$1,276.07	$1,276.07	$1,276.07