Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $6,629.40 / $16,633.66	Facility		$2,747.00	$6,629.40	$16,633.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.43 / $612.50 / $612.50	Professional		$274.43	$612.50	$612.50
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 $857.42 / $857.42 / $1,680.73	Professional		$857.42	$857.42	$1,680.73
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 $857.42 / $857.42 / $1,680.73	Professional		$857.42	$857.42	$1,680.73
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