Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,037.00 / $19,047.70 / $41,013.19	Facility		$2,037.00	$19,047.70	$41,013.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43,116.90 / $43,116.90 / $45,810.90	Facility		$43,116.90	$43,116.90	$45,810.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,950.00 / $3,950.00 / $3,950.00	Facility		$3,950.00	$3,950.00	$3,950.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $16,663.38 / $26,894.43	Facility		$7,500.00	$16,663.38	$26,894.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $17,047.47 / $45,810.90	Facility		$7,500.00	$17,047.47	$45,810.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $3,800.00	Facility		$3,800.00	$3,800.00	$3,800.00