Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $7,943.28	Facility		$4,786.30	$6,606.93	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $5,011.87 / $20,417.38	Facility		$4,677.35	$5,011.87	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $20,417.38	Professional		$3,890.45	$3,890.45	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,951.21	Facility		$1,737.80	$2,041.74	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,659,586.91	Facility		$851.14	$851.14	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $11,220.18 / $15,135.61	Facility		$10,000.00	$11,220.18	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $12,882.50 / $26,302.68	Facility		$2,137.96	$12,882.50	$26,302.68