Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.56 / $217.88 / $411.59	Facility		$184.56	$217.88	$411.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $93.86 / $192.25	Professional		$71.76	$93.86	$192.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $270.00 / $270.00 / $270.00	Professional	25	$270.00	$270.00	$270.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.22 / $239.02 / $308.95	Professional		$228.22	$239.02	$308.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $293.24	Facility		$293.24	$293.24	$293.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $312.48 / $335.40	Professional		$122.55	$312.48	$335.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.22 / $322.00 / $402.50	Professional		$263.22	$322.00	$402.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $293.24 / $293.24 / $293.24	Facility		$293.24	$293.24	$293.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $245.75 / $424.76	Professional		$122.55	$245.75	$424.76
United Facility/Professional Professional Modifier Low / Median / High Price $107.72 / $247.16 / $370.74	Professional		$107.72	$247.16	$370.74