Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Facility		$5,100.00	$5,100.00	$5,100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,980.00 / $4,980.00 / $4,980.00	Professional		$4,980.00	$4,980.00	$4,980.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,200.00 / $10,200.00 / $10,200.00	Facility		$10,200.00	$10,200.00	$10,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $5,100.00 / $5,100.00	Professional		$5,100.00	$5,100.00	$5,100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $6,000.00 / $10,707.00	Facility		$4,980.00	$6,000.00	$10,707.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,681.82 / $2,681.82 / $5,157.35	Professional		$2,681.82	$2,681.82	$5,157.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,700.00 / $5,700.00 / $79,999.20	Facility		$5,700.00	$5,700.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,980.00 / $7,125.00 / $10,707.00	Facility		$4,980.00	$7,125.00	$10,707.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,100.00 / $7,125.00 / $7,244.70	Professional		$5,100.00	$7,125.00	$7,244.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,700.00 / $5,700.00 / $27,759.00	Facility		$5,700.00	$5,700.00	$27,759.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,700.00 / $5,700.00 / $5,700.00	Professional		$5,700.00	$5,700.00	$5,700.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,000.00 / $5,000.00 / $5,750.00	Professional		$5,000.00	$5,000.00	$5,750.00