Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.46 / $368.46 / $368.46	Professional		$368.46	$368.46	$368.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,687.94 / $21,687.94 / $21,687.94	Facility		$21,687.94	$21,687.94	$21,687.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $379.59 / $792.19	Facility		$368.46	$379.59	$792.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,204.68 / $11,760.00 / $18,846.00	Facility		$5,204.68	$11,760.00	$18,846.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.46 / $445.65 / $792.19	Facility		$368.46	$445.65	$792.19
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,132.79 / $25,497.89 / $32,813.26	Facility		$22,132.79	$25,497.89	$32,813.26
United Facility/Professional Facility Modifier Low / Median / High Price $23,237.22 / $23,237.22 / $28,711.11	Facility		$23,237.22	$23,237.22	$28,711.11