Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,066.30 / $22,983.80 / $27,752.40	Facility		$12,066.30	$22,983.80	$27,752.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $20,753.95 / $35,478.86	Facility		$6,916.00	$20,753.95	$35,478.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16,737.95 / $19,517.46 / $23,542.46	Facility		$16,737.95	$19,517.46	$23,542.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,762.85 / $15,810.00 / $21,328.87	Facility		$10,762.85	$15,810.00	$21,328.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $12,176.39 / $20,491.50 / $31,473.97	Facility		$12,176.39	$20,491.50	$31,473.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,454.34 / $18,402.00 / $23,429.58	Facility		$13,454.34	$18,402.00	$23,429.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $18,923.74 / $27,260.07	Facility		$3,775.00	$18,923.74	$27,260.07