Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,704.00 / $8,728.00	Facility		$988.00	$4,704.00	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.08 / $506.00 / $506.00	Professional		$259.08	$506.00	$506.00
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 $362.21 / $362.21 / $1,295.79	Professional		$362.21	$362.21	$1,295.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $224.69 / $356.00 / $571.00	Facility		$224.69	$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 $362.21 / $362.21 / $1,295.79	Professional		$362.21	$362.21	$1,295.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $890.90	Facility		$564.70	$724.26	$890.90
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