Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18,792.50 / $35,796.00 / $43,222.80	Facility		$18,792.50	$35,796.00	$43,222.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,397.00 / $32,323.10 / $53,097.12	Facility		$12,397.00	$32,323.10	$53,097.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26,174.47 / $29,483.94 / $33,200.01	Facility		$26,174.47	$29,483.94	$33,200.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,318.42 / $24,806.97 / $32,854.80	Facility		$16,318.42	$24,806.97	$32,854.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $18,137.74 / $31,378.20 / $48,013.56	Facility		$18,137.74	$31,378.20	$48,013.56
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $20,135.55 / $27,907.80 / $36,702.22	Facility		$20,135.55	$27,907.80	$36,702.22
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $31,581.92 / $45,440.27	Facility		$3,775.00	$31,581.92	$45,440.27