Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $13,402.40 / $28,857.80	Facility		$1,827.00	$13,402.40	$28,857.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30,337.94 / $30,337.94 / $32,233.50	Facility		$30,337.94	$30,337.94	$32,233.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,950.00 / $3,950.00 / $40,754.76	Facility		$3,950.00	$3,950.00	$40,754.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $11,724.70 / $17,748.90	Facility		$7,500.00	$11,724.70	$17,748.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $11,250.43 / $32,233.50	Facility		$7,500.00	$11,250.43	$32,233.50
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