Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $387.48 / $535.28	Facility		$148.50	$387.48	$535.28
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $233.49 / $233.49 / $233.49	Facility	25	$233.49	$233.49	$233.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $162.82 / $335.68	Professional		$118.30	$162.82	$335.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $381.88 / $390.94 / $400.22	Professional	25	$381.88	$390.94	$400.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $418.87 / $600.50	Professional		$155.22	$418.87	$600.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.75 / $190.07 / $396.68	Facility		$123.75	$190.07	$396.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $251.47 / $495.28 / $653.90	Professional		$251.47	$495.28	$653.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.34 / $323.64 / $514.08	Professional		$180.34	$323.64	$514.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.90 / $235.11 / $434.46	Facility		$126.90	$235.11	$434.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $323.64 / $556.79	Professional		$162.05	$323.64	$556.79
United Facility/Professional Professional Modifier Low / Median / High Price $255.75 / $520.67 / $604.60	Professional		$255.75	$520.67	$604.60