Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,878.75 / $18,817.00 / $22,721.10	Facility		$9,878.75	$18,817.00	$22,721.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $16,991.45 / $26,592.62	Facility		$6,916.00	$16,991.45	$26,592.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11,892.60 / $16,161.52 / $18,954.91	Facility		$11,892.60	$16,161.52	$18,954.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $9,704.28 / $12,001.50 / $17,495.56	Facility		$9,704.28	$12,001.50	$17,495.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $9,169.02 / $16,555.08 / $25,444.04	Facility		$9,169.02	$16,555.08	$25,444.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,084.49 / $14,160.28 / $21,458.13	Facility		$10,084.49	$14,160.28	$21,458.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $15,493.04 / $22,318.07	Facility		$3,775.00	$15,493.04	$22,318.07