Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,971.00 / $20,713.00 / $39,164.69	Facility		$13,971.00	$20,713.00	$39,164.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41,173.50 / $41,173.50 / $43,746.08	Facility		$41,173.50	$41,173.50	$43,746.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18,749.20 / $18,749.20 / $18,749.20	Facility		$18,749.20	$18,749.20	$18,749.20
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $15,912.32 / $25,292.49	Facility		$7,500.00	$15,912.32	$25,292.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $16,032.05 / $43,746.08	Facility		$7,500.00	$16,032.05	$43,746.08
United Facility/Professional Facility Modifier Low / Median / High Price $13,231.00 / $13,231.00 / $13,231.00	Facility		$13,231.00	$13,231.00	$13,231.00