Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,203.80 / $30,864.90 / $37,268.60	Facility		$16,203.80	$30,864.90	$37,268.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $27,870.45 / $47,839.95	Facility		$6,916.00	$27,870.45	$47,839.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21,791.50 / $25,960.34 / $30,663.84	Facility		$21,791.50	$25,960.34	$30,663.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $14,768.27 / $21,615.50 / $28,829.95	Facility		$14,768.27	$21,615.50	$28,829.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $16,402.88 / $28,241.67 / $42,959.16	Facility		$16,402.88	$28,241.67	$42,959.16
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $18,186.05 / $25,536.22 / $32,838.57	Facility		$18,186.05	$25,536.22	$32,838.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $25,412.67 / $36,607.51	Facility		$3,775.00	$25,412.67	$36,607.51