Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,800.00 / $12,952.60 / $15,640.00	Facility		$6,800.00	$12,952.60	$15,640.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $11,696.00 / $20,076.32	Facility		$6,916.00	$11,696.00	$20,076.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10,304.59 / $11,494.98 / $15,365.12	Facility		$10,304.59	$11,494.98	$15,365.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,835.34 / $9,685.44 / $12,828.20	Facility		$6,835.34	$9,685.44	$12,828.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,988.00 / $12,045.15 / $18,322.20	Facility		$7,988.00	$12,045.15	$18,322.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,619.76 / $10,699.40 / $14,005.74	Facility		$7,619.76	$10,699.40	$14,005.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $10,664.58 / $15,362.56	Facility		$3,775.00	$10,664.58	$15,362.56