Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $19,498.45 / $40,738.03	Facility		$13,489.63	$19,498.45	$40,738.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $30,902.95	Facility		$28,840.32	$28,840.32	$30,902.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $18,197.01	Facility		$6,456.54	$11,220.18	$18,197.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $30,902.95	Facility		$28,840.32	$28,840.32	$30,902.95