Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19,968.30 / $19,968.30 / $19,968.30	Facility		$19,968.30	$19,968.30	$19,968.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14,126.71 / $15,821.91 / $18,228.47	Professional		$14,126.71	$15,821.91	$18,228.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,087.50 / $16,087.50 / $16,087.50	Professional		$16,087.50	$16,087.50	$16,087.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15,821.91 / $16,613.00 / $34,017.11	Facility		$15,821.91	$16,613.00	$34,017.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $27,939.71 / $27,939.71 / $27,939.71	Professional		$27,939.71	$27,939.71	$27,939.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $17,177.00 / $43,630.00 / $79,999.20	Facility		$17,177.00	$43,630.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $15,821.91 / $19,136.59 / $34,017.11	Facility		$15,821.91	$19,136.59	$34,017.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $16,087.50 / $16,087.50 / $2,400,000.00	Professional		$16,087.50	$16,087.50	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $48,037.66 / $63,042.94 / $71,575.08	Facility		$48,037.66	$63,042.94	$71,575.08