Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,928.64 / $18,994.70 / $38,592.10	Facility		$9,928.64	$18,994.70	$38,592.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29,034.30 / $29,034.30 / $30,848.40	Facility		$29,034.30	$29,034.30	$30,848.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105,185.50 / $105,185.50 / $105,185.50	Facility		$105,185.50	$105,185.50	$105,185.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $11,220.88 / $18,332.75	Facility		$7,500.00	$11,220.88	$18,332.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $11,620.52 / $30,848.40	Facility		$7,500.00	$11,620.52	$30,848.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,432.00 / $2,432.00 / $2,432.00	Facility		$2,432.00	$2,432.00	$2,432.00