Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $19,054.61	Facility		$7,943.28	$13,182.57	$19,054.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Professional		$19,054.61	$19,054.61	$19,054.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $17,378.01 / $23,988.33	Facility		$7,079.46	$17,378.01	$23,988.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $19,054.61 / $20,417.38	Professional		$7,079.46	$19,054.61	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $20,892.96 / $20,892.96	Facility		$4,365.16	$20,892.96	$20,892.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $22,908.68 / $23,988.33	Facility		$19,054.61	$22,908.68	$23,988.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $120.23 / $120.23	Professional		$79.43	$120.23	$120.23
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,387.21 / $28,183.83 / $35,481.34	Facility		$22,387.21	$28,183.83	$35,481.34
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $26,302.68 / $52,480.75	Facility		$3,311.31	$26,302.68	$52,480.75