Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,097.50 / $24,948.10 / $30,124.20	Facility		$13,097.50	$24,948.10	$30,124.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $22,527.70 / $38,655.14	Facility		$6,916.00	$22,527.70	$38,655.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17,997.50 / $20,983.74 / $25,498.24	Facility		$17,997.50	$20,983.74	$25,498.24
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12,587.97 / $17,851.70 / $23,238.35	Facility		$12,587.97	$17,851.70	$23,238.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,250.11 / $22,527.70 / $34,291.69	Facility		$13,250.11	$22,527.70	$34,291.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,658.85 / $20,216.09 / $25,752.73	Facility		$14,658.85	$20,216.09	$25,752.73
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,541.07 / $29,589.87	Facility		$3,775.00	$20,541.07	$29,589.87