Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $5,754.40 / $6,309.57	Facility		$173.78	$5,754.40	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $2,818.38	Professional		$2,511.89	$2,570.40	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $5,888.44	Facility		$1,819.70	$3,162.28	$5,888.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $2,818.38	Professional		$1,819.70	$2,630.27	$2,818.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,467.37	Facility		$2,511.89	$2,511.89	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $8,317.64	Facility		$2,570.40	$3,388.44	$8,317.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,630.27 / $3,548.13	Professional		$79.43	$2,630.27	$3,548.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $3,311.31	Facility		$1,380.38	$1,380.38	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,090.30	Professional		$2,570.40	$2,570.40	$3,090.30