Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43,355.20 / $82,943.80 / $168,519.00	Facility		$43,355.20	$82,943.80	$168,519.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126,783.64 / $126,783.64 / $134,705.25	Facility		$126,783.64	$126,783.64	$134,705.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,684.00 / $5,684.00 / $5,684.00	Facility		$5,684.00	$5,684.00	$5,684.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $48,998.05 / $78,379.74	Facility		$7,500.00	$48,998.05	$78,379.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $49,682.25 / $134,705.25	Facility		$7,500.00	$49,682.25	$134,705.25