Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $4,684.68 / $8,728.00	Facility		$247.00	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.60 / $333.60 / $540.00	Professional		$333.60	$333.60	$540.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $885.59	Professional		$27.00	$27.00	$885.59
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $217.25 / $356.00 / $571.00	Facility		$217.25	$356.00	$571.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $1,644,135.68	Facility		$842.00	$842.00	$1,644,135.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $885.59	Professional		$27.00	$27.00	$885.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00