Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.66 / $528.07 / $725.65	Facility		$516.66	$528.07	$725.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $331.42 / $331.42 / $331.42	Facility	25	$331.42	$331.42	$331.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.38 / $229.40 / $454.54	Professional		$161.38	$229.40	$454.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $538.02 / $538.02 / $538.02	Professional	25	$538.02	$538.02	$538.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.81 / $562.00 / $791.99	Professional		$210.81	$562.00	$791.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.53 / $256.49 / $537.75	Facility		$167.53	$256.49	$537.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.54 / $673.15 / $886.21	Professional		$341.54	$673.15	$886.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.93 / $452.60 / $696.74	Professional		$244.93	$452.60	$696.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.26 / $318.20 / $588.96	Facility		$174.26	$318.20	$588.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $232.40 / $436.05 / $784.06	Professional		$232.40	$436.05	$784.06
United Facility/Professional Professional Modifier Low / Median / High Price $606.60 / $633.60 / $797.41	Professional		$606.60	$633.60	$797.41