Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $20,892.96 / $43,651.58	Facility		$14,125.38	$20,892.96	$43,651.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $33,113.11	Facility		$30,902.95	$30,902.95	$33,113.11
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 $6,918.31 / $12,022.64 / $20,892.96	Facility		$6,918.31	$12,022.64	$20,892.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $33,113.11	Facility		$30,902.95	$30,902.95	$33,113.11