Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35,127.19 / $67,202.60 / $136,538.00	Facility		$35,127.19	$67,202.60	$136,538.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102,722.51 / $102,722.51 / $109,140.75	Facility		$102,722.51	$102,722.51	$109,140.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53,010.00 / $53,010.00 / $53,010.00	Facility		$53,010.00	$53,010.00	$53,010.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $39,699.15 / $61,379.06	Facility		$7,500.00	$39,699.15	$61,379.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $38,906.10 / $109,140.75	Facility		$7,500.00	$38,906.10	$109,140.75