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 / $11,055.07	Facility		$988.00	$5,116.62	$11,055.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $909.60 / $7,092.04	Professional		$97.31	$909.60	$7,092.04
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 $335.23 / $335.23 / $1,459.25	Professional		$335.23	$335.23	$1,459.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $158.97 / $158.97	Professional		$158.97	$158.97	$158.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $214.44 / $447.00 / $717.00	Facility		$214.44	$447.00	$717.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $1,644,166.96	Facility		$842.00	$842.00	$1,644,166.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.23 / $335.23 / $1,459.25	Professional		$335.23	$335.23	$1,459.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $737.82 / $929.08 / $1,109.00	Facility		$737.82	$929.08	$1,109.00
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