Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,355.55 / $7,355.55 / $8,016.68	Facility		$7,355.55	$7,355.55	$8,016.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.50 / $262.39	Professional		$30.00	$41.50	$262.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $28.75 / $79.78	Professional		$28.75	$28.75	$79.78
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $150.13 / $238.00 / $381.00	Facility		$150.13	$238.00	$381.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $1,644,089.28	Facility		$78.00	$78.00	$1,644,089.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $28.75 / $79.78	Professional		$28.75	$28.75	$79.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $376.96 / $498.08 / $590.98	Facility		$376.96	$498.08	$590.98
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