Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $13,764.70 / $38,288.19	Facility		$1,827.00	$13,764.70	$38,288.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40,252.08 / $40,252.08 / $42,767.10	Facility		$40,252.08	$40,252.08	$42,767.10
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 / $15,556.22 / $23,751.88	Facility		$7,500.00	$15,556.22	$23,751.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $15,055.51 / $42,767.10	Facility		$7,500.00	$15,055.51	$42,767.10
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