Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,336.30 / $40,641.30 / $49,073.40	Facility		$21,336.30	$40,641.30	$49,073.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $36,698.35 / $57,896.42	Facility		$6,916.00	$36,698.35	$57,896.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29,445.68 / $32,566.32 / $39,575.78	Facility		$29,445.68	$32,566.32	$39,575.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18,425.43 / $27,907.59 / $36,159.19	Facility		$18,425.43	$27,907.59	$36,159.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $19,761.96 / $34,231.23 / $51,036.31	Facility		$19,761.96	$34,231.23	$51,036.31
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21,955.55 / $29,373.92 / $39,803.05	Facility		$21,955.55	$29,373.92	$39,803.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $33,462.07 / $48,202.86	Facility		$3,775.00	$33,462.07	$48,202.86