Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $13,405.00 / $36,631.00	Facility		$1,827.00	$13,405.00	$36,631.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38,509.87 / $38,509.87 / $40,916.03	Facility		$38,509.87	$38,509.87	$40,916.03
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 / $14,882.90 / $23,751.88	Facility		$7,500.00	$14,882.90	$23,751.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $15,055.51 / $40,916.03	Facility		$7,500.00	$15,055.51	$40,916.03
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