Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,517.36 / $5,898.21 / $6,382.21	Facility		$2,517.36	$5,898.21	$6,382.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,581.63 / $2,581.63 / $4,602.39	Professional		$2,581.63	$2,581.63	$4,602.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,034.72 / $5,034.72 / $5,034.72	Facility		$5,034.72	$5,034.72	$5,034.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $2,643.84 / $2,643.84	Professional		$2,643.84	$2,643.84	$2,643.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,581.63 / $3,257.76 / $5,550.50	Facility		$2,581.63	$3,257.76	$5,550.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,804.43 / $1,804.43 / $3,470.05	Professional		$1,804.43	$1,804.43	$3,470.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,581.63 / $3,516.90 / $5,627.04	Facility		$2,581.63	$3,516.90	$5,627.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,643.84 / $3,516.90 / $3,516.90	Professional		$2,643.84	$3,516.90	$3,516.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,954.88 / $2,954.88 / $2,954.88	Professional		$2,954.88	$2,954.88	$2,954.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $2,980.80	Professional		$2,592.00	$2,592.00	$2,980.80