Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $12,590.60	Facility		$5,351.02	$5,351.02	$12,590.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,225.12 / $5,225.12 / $5,351.02	Professional		$5,225.12	$5,225.12	$5,351.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,702.04 / $10,702.04 / $10,702.04	Facility		$10,702.04	$10,702.04	$10,702.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,225.12 / $7,471.92 / $11,234.01	Facility		$5,225.12	$7,471.92	$11,234.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,359.13 / $6,333.52 / $12,179.85	Professional		$5,359.13	$6,333.52	$12,179.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $7,515.87 / $79,999.20 / $79,999.20	Facility		$7,515.87	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,471.68 / $6,924.85 / $11,234.01	Facility		$5,471.68	$6,924.85	$11,234.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $6,557.63 / $6,557.63	Professional		$5,351.02	$6,557.63	$6,557.63
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,760.20 / $7,785.23 / $18,050.20	Facility		$4,760.20	$7,785.23	$18,050.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $5,351.02 / $5,351.02 / $5,351.02	Professional		$5,351.02	$5,351.02	$5,351.02
United Facility/Professional Professional Modifier Low / Median / High Price $5,246.10 / $5,246.10 / $5,246.10	Professional		$5,246.10	$5,246.10	$5,246.10