Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $26,302.68 / $53,703.18	Facility		$15,488.17	$26,302.68	$53,703.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $22,908.68 / $35,481.34	Facility		$14,125.38	$22,908.68	$35,481.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $19,498.45 / $30,199.52	Facility		$14,125.38	$19,498.45	$30,199.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $14,454.40 / $18,197.01	Facility		$5,011.87	$14,454.40	$18,197.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $20,892.96 / $33,884.42	Facility		$16,595.87	$20,892.96	$33,884.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $16,982.44 / $20,417.38	Facility		$13,182.57	$16,982.44	$20,417.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $14,125.38 / $25,703.96	Facility		$3,801.89	$14,125.38	$25,703.96