Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.72 / $2,057.02 / $3,659.52	Facility		$717.72	$2,057.02	$3,659.52
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $5,146.20 / $5,146.20 / $5,146.20	Facility	25	$5,146.20	$5,146.20	$5,146.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.75 / $119.14 / $294.26	Professional		$92.75	$119.14	$294.26
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $109.37 / $1,009.50 / $2,079.00	Professional	25	$109.37	$1,009.50	$2,079.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $215.94 / $503.68	Professional		$102.88	$215.94	$503.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $230.73 / $449.67	Facility		$158.91	$230.73	$449.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $326.80 / $587.48	Professional		$257.14	$326.80	$587.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.56 / $323.66 / $474.02	Professional		$253.56	$323.66	$474.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.37 / $230.73 / $449.67	Facility		$138.37	$230.73	$449.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.74 / $300.20 / $491.86	Professional		$145.74	$300.20	$491.86
United Facility/Professional Professional Modifier Low / Median / High Price $123.31 / $346.99 / $442.81	Professional		$123.31	$346.99	$442.81
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $80.00	Professional	25	$80.00	$80.00	$80.00