Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,827.00 / $11,983.90 / $25,803.60	Facility		$1,827.00	$11,983.90	$25,803.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27,127.11 / $27,127.11 / $28,822.05	Facility		$27,127.11	$27,127.11	$28,822.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,950.00 / $13,805.93 / $65,634.75	Facility		$3,950.00	$13,805.93	$65,634.75
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $10,483.81 / $15,631.79	Facility		$7,500.00	$10,483.81	$15,631.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,429.44 / $9,908.45 / $28,822.05	Facility		$7,429.44	$9,908.45	$28,822.05
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