Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,528.80 / $23,864.80 / $28,816.10	Facility		$12,528.80	$23,864.80	$28,816.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $21,549.45 / $36,989.87	Facility		$6,916.00	$21,549.45	$36,989.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17,624.12 / $20,122.66 / $23,939.54	Facility		$17,624.12	$20,122.66	$23,939.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,446.84 / $17,418.20 / $22,541.20	Facility		$11,446.84	$17,418.20	$22,541.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $12,792.79 / $21,764.34 / $33,106.32	Facility		$12,792.79	$21,764.34	$33,106.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,146.41 / $19,797.27 / $25,306.92	Facility		$14,146.41	$19,797.27	$25,306.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $21,055.32 / $28,304.95	Facility		$3,775.00	$21,055.32	$28,304.95