Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.06 / $284.14 / $301.17	Facility		$187.06	$284.14	$301.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $135.84 / $283.29	Professional		$91.87	$135.84	$283.29
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $110.41 / $159.32 / $272.12	Professional	25	$110.41	$159.32	$272.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $116.36	Professional		$116.36	$116.36	$116.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.59 / $227.32 / $318.25	Facility		$136.59	$227.32	$318.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.18 / $379.41 / $562.38	Professional		$316.18	$379.41	$562.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.15 / $227.32 / $318.25	Facility		$122.15	$227.32	$318.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $132.11 / $175.07	Professional		$116.36	$132.11	$175.07
United Facility/Professional Professional Modifier Low / Median / High Price $300.66 / $303.25 / $338.24	Professional		$300.66	$303.25	$338.24