Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22,744.00 / $41,085.90 / $64,196.70	Facility		$22,744.00	$41,085.90	$64,196.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37,417.50 / $41,085.90 / $63,279.60	Professional		$37,417.50	$41,085.90	$63,279.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15,125.24 / $15,125.24 / $15,125.24	Facility		$15,125.24	$15,125.24	$15,125.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26,228.95 / $26,228.95 / $26,228.95	Facility		$26,228.95	$26,228.95	$26,228.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $5,475.20 / $17,630.14	Professional		$5,475.20	$5,475.20	$17,630.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,258.24 / $20,258.24 / $21,900.80	Facility		$20,258.24	$20,258.24	$21,900.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,927.68 / $12,319.20 / $12,319.20	Professional		$4,927.68	$12,319.20	$12,319.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15,125.24 / $21,079.52 / $26,228.95	Facility		$15,125.24	$21,079.52	$26,228.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $15,056.80 / $15,056.80 / $15,056.80	Professional		$15,056.80	$15,056.80	$15,056.80
United Facility/Professional Professional Modifier Low / Median / High Price $5,475.20 / $10,950.40 / $16,519.83	Professional		$5,475.20	$10,950.40	$16,519.83