Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $988.00 / $4,684.68 / $15,937.07	Facility		$988.00	$4,684.68	$15,937.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $564.08 / $1,037.59 / $3,390.42	Professional		$564.08	$1,037.59	$3,390.42
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 $686.30 / $686.30 / $2,268.75	Professional		$686.30	$686.30	$2,268.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $185.89 / $356.00 / $571.00	Facility		$185.89	$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 $686.30 / $686.30 / $2,268.75	Professional		$686.30	$686.30	$2,268.75
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00