Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.01 / $260.01 / $260.01	Professional		$260.01	$260.01	$260.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,687.94 / $21,687.94 / $21,687.94	Facility		$21,687.94	$21,687.94	$21,687.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.01 / $273.01 / $559.02	Facility		$260.01	$273.01	$559.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,883.92 / $11,760.00 / $18,846.00	Facility		$2,883.92	$11,760.00	$18,846.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.01 / $273.01 / $559.02	Facility		$260.01	$273.01	$559.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,132.79 / $25,497.89 / $32,813.26	Facility		$22,132.79	$25,497.89	$32,813.26