Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,014.20 / $21,071.60 / $42,811.70	Facility		$11,014.20	$21,071.60	$42,811.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32,208.92 / $32,208.92 / $34,221.37	Facility		$32,208.92	$32,208.92	$34,221.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12,240.96 / $12,240.96 / $12,240.96	Facility		$12,240.96	$12,240.96	$12,240.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $12,447.78 / $19,490.66	Facility		$7,500.00	$12,447.78	$19,490.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $12,354.48 / $34,221.37	Facility		$7,500.00	$12,354.48	$34,221.37