Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,867.50 / $41,653.19 / $50,295.30	Facility		$21,867.50	$41,653.19	$50,295.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $37,612.10 / $62,034.77	Facility		$6,916.00	$37,612.10	$62,034.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28,499.40 / $34,144.36 / $40,020.04	Facility		$28,499.40	$34,144.36	$40,020.04
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $16,977.20 / $26,999.40 / $37,293.51	Facility		$16,977.20	$26,999.40	$37,293.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $21,161.26 / $35,683.21 / $55,032.21	Facility		$21,161.26	$35,683.21	$55,032.21
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23,524.90 / $32,605.42 / $38,532.50	Facility		$23,524.90	$32,605.42	$38,532.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $34,295.24 / $49,403.06	Facility		$3,775.00	$34,295.24	$49,403.06