Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $17,782.79 / $37,153.52	Facility		$12,022.64	$17,782.79	$37,153.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $28,183.83	Facility		$26,302.68	$26,302.68	$28,183.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Facility		$12,302.69	$12,302.69	$12,302.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,232.93 / $17,378.01	Facility		$5,888.44	$10,232.93	$17,378.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $28,183.83	Facility		$26,302.68	$26,302.68	$28,183.83