Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,002.00 / $20,891.52 / $30,788.40	Facility		$4,002.00	$20,891.52	$30,788.40
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 $17,890.20 / $21,810.72 / $26,045.88	Facility		$17,890.20	$21,810.72	$26,045.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $18,356.59 / $26,256.01	Facility		$2,400.00	$18,356.59	$26,256.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,034.00 / $23,639.86 / $34,667.66	Facility		$3,034.00	$23,639.86	$34,667.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $2,388.00 / $18,367.40	Facility		$1,500.00	$2,388.00	$18,367.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $20,993.92 / $30,242.22	Facility		$3,775.00	$20,993.92	$30,242.22