Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $77.83 / $159.46	Professional		$57.07	$77.83	$159.46
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $70.76 / $98.27 / $383.28	Professional	25	$70.76	$98.27	$383.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $201.42 / $382.57	Professional		$77.16	$201.42	$382.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.62 / $147.57 / $223.24	Facility		$75.62	$147.57	$223.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.15 / $233.32 / $415.90	Professional		$181.15	$233.32	$415.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.68 / $183.68 / $3,495.87	Facility		$183.68	$183.68	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $216.00 / $288.00	Professional		$156.80	$216.00	$288.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $147.57 / $223.24	Facility		$70.84	$147.57	$223.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $204.18 / $305.51	Professional		$114.00	$204.18	$305.51
United Facility/Professional Professional Modifier Low / Median / High Price $210.49 / $232.86 / $293.06	Professional		$210.49	$232.86	$293.06