Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,787.50 / $24,357.60 / $29,411.30	Facility		$12,787.50	$24,357.60	$29,411.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $21,994.50 / $37,753.82	Facility		$6,916.00	$21,994.50	$37,753.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16,335.00 / $20,521.28 / $24,910.32	Facility		$16,335.00	$20,521.28	$24,910.32
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,733.06 / $16,811.30 / $23,370.80	Facility		$10,733.06	$16,811.30	$23,370.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,327.16 / $21,994.50 / $34,374.35	Facility		$13,327.16	$21,994.50	$34,374.35
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,742.40 / $19,844.77 / $24,625.83	Facility		$14,742.40	$19,844.77	$24,625.83
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,054.89 / $28,889.52	Facility		$3,775.00	$20,054.89	$28,889.52