Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,195.00 / $21,324.20 / $25,748.50	Facility		$11,195.00	$21,324.20	$25,748.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $19,255.40 / $33,052.12	Facility		$6,916.00	$19,255.40	$33,052.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13,771.80 / $18,231.48 / $21,714.72	Facility		$13,771.80	$18,231.48	$21,714.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,675.45 / $13,356.01 / $19,973.46	Facility		$8,675.45	$13,356.01	$19,973.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $11,413.38 / $19,189.28 / $29,473.86	Facility		$11,413.38	$19,189.28	$29,473.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $12,599.34 / $17,416.93 / $22,253.15	Facility		$12,599.34	$17,416.93	$22,253.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $17,557.34 / $25,291.74	Facility		$3,775.00	$17,557.34	$25,291.74