Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,756.30 / $22,393.30 / $27,039.40	Facility		$11,756.30	$22,393.30	$27,039.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,916.00 / $20,220.75 / $33,510.67	Facility		$6,916.00	$20,220.75	$33,510.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16,358.18 / $18,834.91 / $22,735.12	Facility		$16,358.18	$18,834.91	$22,735.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $11,382.68 / $15,512.50 / $20,420.40	Facility		$11,382.68	$15,512.50	$20,420.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $11,509.07 / $20,123.80 / $29,727.95	Facility		$11,509.07	$20,123.80	$29,727.95
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,621.45 / $11,621.45 / $17,613.18	Facility		$11,621.45	$11,621.45	$17,613.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,775.00 / $18,437.56 / $26,559.72	Facility		$3,775.00	$18,437.56	$26,559.72