Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,705.00 / $3,641.50 / $7,920.26	Facility		$1,705.00	$3,641.50	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $20,400.00	Professional		$79.34	$79.34	$20,400.00
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 / $3,010.75	Professional		$27.00	$27.00	$3,010.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.85 / $369.00 / $591.00	Facility		$176.85	$369.00	$591.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $1,644,131.36	Facility		$842.00	$842.00	$1,644,131.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $3,010.75	Professional		$27.00	$27.00	$3,010.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $674.64 / $914.40	Facility		$555.45	$674.64	$914.40
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00