Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $697.50 / $6,075.02 / $6,261.22	Facility		$697.50	$6,075.02	$6,261.22
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $5,016.62 / $6,525.00 / $7,130.40	Facility	25	$5,016.62	$6,525.00	$7,130.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.85 / $273.33 / $636.87	Professional		$188.85	$273.33	$636.87
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $119.32 / $289.13 / $1,966.50	Professional	25	$119.32	$289.13	$1,966.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.52 / $458.13 / $1,004.02	Professional		$235.52	$458.13	$1,004.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $341.11 / $517.62 / $895.61	Facility		$341.11	$517.62	$895.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.13 / $712.32 / $1,193.89	Professional		$479.13	$712.32	$1,193.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $517.41 / $699.60 / $1,026.25	Professional		$517.41	$699.60	$1,026.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.42 / $517.62 / $895.61	Facility		$276.42	$517.62	$895.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $311.60 / $607.67 / $1,033.20	Professional		$311.60	$607.67	$1,033.20
United Facility/Professional Professional Modifier Low / Median / High Price $277.37 / $747.58 / $983.07	Professional		$277.37	$747.58	$983.07