Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.63 / $270.63 / $270.63	Facility		$270.63	$270.63	$270.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $298.05 / $608.53	Professional		$298.05	$298.05	$608.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.05 / $263.05 / $312.30	Professional		$263.05	$263.05	$312.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.21 / $426.21 / $426.21	Facility		$426.21	$426.21	$426.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $297.89 / $537.25	Professional		$138.69	$297.89	$537.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $365.00 / $411.75 / $561.80	Professional		$365.00	$411.75	$561.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.21 / $426.21 / $426.21	Facility		$426.21	$426.21	$426.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $381.25 / $669.51	Professional		$138.69	$381.25	$669.51
United Facility/Professional Professional Modifier Low / Median / High Price $204.27 / $247.42 / $374.76	Professional		$204.27	$247.42	$374.76