Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $71.87 / $139.66	Professional		$54.33	$71.87	$139.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $81.55 / $98.96 / $358.52	Professional	25	$81.55	$98.96	$358.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.05 / $189.58 / $335.57	Professional		$67.05	$189.58	$335.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.88 / $139.12 / $195.52	Facility		$68.88	$139.12	$195.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $206.70 / $388.96	Professional		$171.43	$206.70	$388.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.02 / $173.02 / $3,495.87	Facility		$173.02	$173.02	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.10 / $192.60 / $265.00	Professional		$143.10	$192.60	$265.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.08 / $139.12 / $195.52	Facility		$65.08	$139.12	$195.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.23 / $189.00 / $266.25	Professional		$100.23	$189.00	$266.25
United Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $205.90 / $267.77	Professional		$182.15	$205.90	$267.77