Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13,490.00 / $25,695.80 / $31,027.00	Facility		$13,490.00	$25,695.80	$31,027.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $23,202.80 / $36,646.56	Facility		$6,916.00	$23,202.80	$36,646.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18,925.53 / $21,425.68 / $25,360.70	Facility		$18,925.53	$21,425.68	$25,360.70
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $6,300.00 / $14,993.00 / $59,999.40	Facility		$6,300.00	$14,993.00	$59,999.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $11,296.74 / $21,527.32 / $33,774.69	Facility		$11,296.74	$21,527.32	$33,774.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,897.15 / $19,261.40 / $24,905.70	Facility		$13,897.15	$19,261.40	$24,905.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $14,040.00 / $29,246.32	Facility		$3,775.00	$14,040.00	$29,246.32