Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,037.00 / $17,005.00 / $40,573.10	Facility		$2,037.00	$17,005.00	$40,573.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42,654.18 / $42,654.18 / $45,319.28	Facility		$42,654.18	$42,654.18	$45,319.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11,528.00 / $11,528.00 / $11,528.00	Facility		$11,528.00	$11,528.00	$11,528.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $16,484.56 / $26,568.16	Facility		$7,500.00	$16,484.56	$26,568.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $16,840.65 / $45,319.28	Facility		$7,500.00	$16,840.65	$45,319.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,700.00 / $5,700.00 / $5,700.00	Facility		$5,700.00	$5,700.00	$5,700.00