Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $41,686.94 / $87,096.36	Facility		$28,183.83	$41,686.94	$87,096.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61,659.50 / $61,659.50 / $64,565.42	Facility		$61,659.50	$61,659.50	$64,565.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $23,442.29 / $37,153.52	Facility		$13,489.63	$23,442.29	$37,153.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $61,659.50 / $61,659.50 / $64,565.42	Facility		$61,659.50	$61,659.50	$64,565.42