Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Facility		$776.84	$776.84	$776.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.56 / $758.56 / $758.56	Professional		$758.56	$758.56	$758.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,553.68 / $1,553.68 / $1,553.68	Facility		$1,553.68	$1,553.68	$1,553.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $776.84 / $776.84	Professional		$776.84	$776.84	$776.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.56 / $913.93 / $1,630.90	Facility		$758.56	$913.93	$1,630.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.82 / $483.82 / $930.43	Professional		$483.82	$483.82	$930.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,037.84 / $79,999.20 / $79,999.20	Facility		$2,037.84	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.56 / $1,005.32 / $1,630.90	Facility		$758.56	$1,005.32	$1,630.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $776.84 / $868.23 / $2,250,000.00	Professional		$776.84	$868.23	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $868.23 / $1,274.72 / $2,555.75	Facility		$868.23	$1,274.72	$2,555.75
United Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $761.61 / $913.93	Professional		$761.61	$761.61	$913.93