Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $10,000.00	Facility		$4,786.30	$6,606.93	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $8,912.51 / $8,912.51	Professional		$1,862.09	$8,912.51	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,398.83	Professional		$2,344.23	$2,344.23	$2,398.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $6,606.93 / $20,417.38	Facility		$4,677.35	$6,606.93	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $8,912.51 / $20,417.38	Professional		$4,677.35	$8,912.51	$20,417.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $575.44 / $575.44	Facility		$223.87	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,659,586.91	Facility		$851.14	$851.14	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95