Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $255.00 / $460.60	Facility		$255.00	$255.00	$460.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $596.79 / $634.40 / $1,559.20	Professional		$596.79	$634.40	$1,559.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.23 / $223.86 / $304.19	Facility		$97.23	$223.86	$304.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.54 / $297.54 / $297.54	Professional		$297.54	$297.54	$297.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $65.73 / $65.73	Professional		$65.73	$65.73	$65.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $221.11 / $330.79	Facility		$86.58	$221.11	$330.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.23 / $237.65 / $1,644,049.80	Facility		$97.23	$237.65	$1,644,049.80
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $201.89 / $281.32 / $339.90	Facility		$201.89	$281.32	$339.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Professional		$50.00	$50.00	$50.00