Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,943.28 / $18,620.87	Facility		$1,819.70	$7,943.28	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $4,365.16	Professional		$1,621.81	$1,819.70	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $13,803.84	Facility		$1,819.70	$2,691.53	$13,803.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,819.70 / $8,912.51	Professional		$1,621.81	$1,819.70	$8,912.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $12,589.25 / $12,589.25	Facility		$4,897.79	$12,589.25	$12,589.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $5,248.07	Facility		$1,819.70	$1,819.70	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $16,218.10 / $19,498.45	Facility		$12,022.64	$16,218.10	$19,498.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29