Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.37 / $293.23 / $498.62	Facility		$203.37	$293.23	$498.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $163.19 / $293.23	Professional		$109.12	$163.19	$293.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $261.39 / $261.39 / $451.45	Professional	25	$261.39	$261.39	$451.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $247.79 / $410.52	Facility		$163.19	$247.79	$410.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $314.58 / $435.68 / $722.72	Professional		$314.58	$435.68	$722.72
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $526.50 / $526.50 / $3,495.87	Facility		$526.50	$526.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.36 / $526.50 / $820.75	Professional		$279.36	$526.50	$820.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $143.41 / $240.50 / $410.52	Facility		$143.41	$240.50	$410.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.90 / $399.11 / $759.00	Professional		$196.90	$399.11	$759.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.74 / $439.56 / $508.51	Professional		$422.74	$439.56	$508.51