Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,628.80 / $24,055.20 / $29,046.10	Facility		$12,628.80	$24,055.20	$29,046.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $21,721.45 / $37,285.12	Facility		$6,916.00	$21,721.45	$37,285.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18,020.02 / $20,272.16 / $24,087.36	Facility		$18,020.02	$20,272.16	$24,087.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,815.76 / $17,340.00 / $22,448.07	Facility		$11,815.76	$17,340.00	$22,448.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $12,807.71 / $21,800.79 / $33,125.51	Facility		$12,807.71	$21,800.79	$33,125.51
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,160.33 / $19,626.16 / $25,173.18	Facility		$14,160.33	$19,626.16	$25,173.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $19,805.91 / $28,530.87	Facility		$3,775.00	$19,805.91	$28,530.87