Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $302.00 / $302.00	Facility		$190.55	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $316.23	Professional		$85.11	$131.83	$316.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $107.15 / $141.25 / $616.60	Professional	25	$107.15	$141.25	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $177.83 / $295.12	Facility		$109.65	$177.83	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $371.54 / $616.60	Professional		$125.89	$371.54	$616.60
Moda Health Facility/Professional Professional Modifier 25 Low / Median / High Price $40.74 / $141.25 / $269.15	Professional	25	$40.74	$141.25	$269.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $169.82 / $275.42	Facility		$109.65	$169.82	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $134.90	Professional		$79.43	$131.83	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $302.00 / $416.87	Professional		$112.20	$302.00	$416.87