Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $5,116.62 / $8,728.00	Facility		$988.00	$5,116.62	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,099.80 / $7,740.94 / $14,718.20	Professional		$6,099.80	$7,740.94	$14,718.20
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 $337.17 / $337.17 / $2,411.50	Professional		$337.17	$337.17	$2,411.50
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 $337.17 / $337.17 / $2,411.50	Professional		$337.17	$337.17	$2,411.50
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 / $4,113.00 / $6,216.00	Facility		$376.00	$4,113.00	$6,216.00