Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,203.00 / $3,551.45 / $7,646.92	Facility		$1,203.00	$3,551.45	$7,646.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,039.15 / $8,039.15 / $8,541.45	Facility		$8,039.15	$8,039.15	$8,541.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,080.52 / $3,069.58 / $6,334.49	Facility		$2,080.52	$3,069.58	$6,334.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,106.89 / $6,133.00 / $7,500.00	Facility		$3,106.89	$6,133.00	$7,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,835.38 / $5,750.00 / $8,541.45	Facility		$2,835.38	$5,750.00	$8,541.45
United Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00