Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,812.50 / $24,405.30 / $29,468.80	Facility		$12,812.50	$24,405.30	$29,468.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $22,037.50 / $37,827.62	Facility		$6,916.00	$22,037.50	$37,827.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17,856.97 / $20,556.06 / $24,957.74	Facility		$17,856.97	$20,556.06	$24,957.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,483.50 / $17,336.59 / $22,812.31	Facility		$11,483.50	$17,336.59	$22,812.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,012.76 / $22,295.70 / $33,663.01	Facility		$13,012.76	$22,295.70	$33,663.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,390.10 / $20,206.07 / $25,240.05	Facility		$14,390.10	$20,206.07	$25,240.05
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,094.09 / $28,946.00	Facility		$3,775.00	$20,094.09	$28,946.00