Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,943.28 / $24,547.09	Facility		$3,890.45	$7,943.28	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $6,760.83	Professional		$3,801.89	$3,890.45	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,623.41 / $15,848.93	Facility		$3,890.45	$5,623.41	$15,848.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,890.45 / $10,000.00	Professional		$3,801.89	$3,890.45	$10,000.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $22,387.21 / $22,387.21	Facility		$8,709.64	$22,387.21	$22,387.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,073.80 / $8,128.31	Facility		$3,890.45	$4,073.80	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $2,238.72 / $2,238.72	Professional		$79.43	$2,238.72	$2,238.72
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $28,840.32 / $35,481.34	Facility		$22,908.68	$28,840.32	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $40,738.03	Facility		$3,019.95	$20,892.96	$40,738.03