Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Facility		$793.42	$793.42	$793.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $774.75 / $774.75 / $774.75	Professional		$774.75	$774.75	$774.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,586.84 / $1,586.84 / $1,586.84	Facility		$1,586.84	$1,586.84	$1,586.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $793.42	Professional		$793.42	$793.42	$793.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $774.75 / $933.43 / $1,665.71	Facility		$774.75	$933.43	$1,665.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $695.38 / $695.38 / $1,337.28	Professional		$695.38	$695.38	$1,337.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,081.32 / $79,999.20 / $79,999.20	Facility		$2,081.32	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $774.75 / $1,026.77 / $1,665.71	Facility		$774.75	$1,026.77	$1,665.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $793.42 / $793.42 / $2,400,000.00	Professional		$793.42	$793.42	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $886.75 / $1,301.92 / $2,610.28	Facility		$886.75	$1,301.92	$2,610.28
United Facility/Professional Professional Modifier Low / Median / High Price $777.86 / $777.86 / $894.54	Professional		$777.86	$777.86	$894.54