Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $26,915.35 / $54,954.09	Facility		$18,197.01	$26,915.35	$54,954.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39,810.72 / $39,810.72 / $41,686.94	Facility		$39,810.72	$39,810.72	$41,686.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Facility		$18,620.87	$18,620.87	$18,620.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $15,135.61 / $22,387.21	Facility		$8,709.64	$15,135.61	$22,387.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $39,810.72 / $39,810.72 / $41,686.94	Facility		$39,810.72	$39,810.72	$41,686.94