Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,037.00 / $22,695.80 / $63,131.10	Facility		$2,037.00	$22,695.80	$63,131.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66,369.28 / $66,369.28 / $70,516.13	Facility		$66,369.28	$66,369.28	$70,516.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11,528.00 / $11,528.00 / $55,280.84	Facility		$11,528.00	$11,528.00	$55,280.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $25,649.73 / $39,638.81	Facility		$7,500.00	$25,649.73	$39,638.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $25,125.69 / $70,516.13	Facility		$7,500.00	$25,125.69	$70,516.13
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