Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,002.00 / $15,730.56 / $27,050.90	Facility		$4,002.00	$15,730.56	$27,050.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,812.00 / $5,812.00 / $6,916.00	Facility		$5,812.00	$5,812.00	$6,916.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11,912.40 / $18,842.91 / $22,964.00	Facility		$11,912.40	$18,842.91	$22,964.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $13,634.00 / $20,178.75	Facility		$2,400.00	$13,634.00	$20,178.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,034.00 / $16,926.25 / $25,031.93	Facility		$3,034.00	$16,926.25	$25,031.93
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,388.00 / $13,642.02	Facility		$1,500.00	$2,388.00	$13,642.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $18,445.40 / $26,571.02	Facility		$3,775.00	$18,445.40	$26,571.02