Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $20,417.38 / $42,657.95	Facility		$14,125.38	$20,417.38	$42,657.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $32,359.37	Facility		$30,199.52	$30,199.52	$32,359.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $11,748.98 / $18,197.01	Facility		$6,760.83	$11,748.98	$18,197.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $32,359.37	Facility		$30,199.52	$30,199.52	$32,359.37