Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35,487.69 / $67,892.30 / $137,939.00	Facility		$35,487.69	$67,892.30	$137,939.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103,776.69 / $103,776.69 / $110,260.80	Facility		$103,776.69	$103,776.69	$110,260.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108,994.36 / $108,994.36 / $108,994.36	Facility		$108,994.36	$108,994.36	$108,994.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $40,106.56 / $58,803.20	Facility		$7,500.00	$40,106.56	$58,803.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $37,273.35 / $110,260.80	Facility		$7,500.00	$37,273.35	$110,260.80