Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $38,018.94 / $79,432.82	Facility		$25,703.96	$38,018.94	$79,432.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $56,234.13 / $60,255.96	Facility		$56,234.13	$56,234.13	$60,255.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Facility		$26,302.68	$26,302.68	$26,302.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,589.25 / $21,877.62 / $36,307.81	Facility		$12,589.25	$21,877.62	$36,307.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $56,234.13 / $56,234.13 / $60,255.96	Facility		$56,234.13	$56,234.13	$60,255.96