Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,202.50 / $25,148.10 / $30,365.80	Facility		$13,202.50	$25,148.10	$30,365.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $22,708.30 / $38,979.06	Facility		$6,916.00	$22,708.30	$38,979.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16,495.20 / $21,151.96 / $25,697.38	Facility		$16,495.20	$21,151.96	$25,697.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,702.33 / $17,508.30 / $23,615.84	Facility		$11,702.33	$17,508.30	$23,615.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,462.62 / $22,355.58 / $34,538.50	Facility		$13,462.62	$22,355.58	$34,538.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,896.97 / $19,939.54 / $25,752.73	Facility		$14,896.97	$19,939.54	$25,752.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,705.74 / $29,827.09	Facility		$3,775.00	$20,705.74	$29,827.09