Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.79 / $535.79 / $535.79	Facility		$535.79	$535.79	$535.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $513.79 / $513.79 / $513.79	Professional		$513.79	$513.79	$513.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.35 / $358.35 / $358.35	Facility		$358.35	$358.35	$358.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $108.33 / $108.33 / $108.33	Professional		$108.33	$108.33	$108.33
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $96.17 / $328.00 / $667.51	Facility		$96.17	$328.00	$667.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $358.35 / $358.35 / $1,644,075.12	Facility		$358.35	$358.35	$1,644,075.12
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $356.81 / $431.88 / $522.99	Facility		$356.81	$431.88	$522.99