Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.91 / $65.91 / $65.91	Facility		$65.91	$65.91	$65.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $37.52 / $62.58	Professional		$27.78	$37.52	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $36.96	Professional		$36.96	$36.96	$36.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $29.17 / $59.73	Facility		$27.78	$29.17	$59.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $75.22	Professional		$75.22	$75.22	$75.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $106.00 / $79,999.20	Facility		$41.78	$106.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $33.60 / $59.73	Facility		$27.78	$33.60	$59.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.96 / $36.96 / $2,400,000.00	Professional		$36.96	$36.96	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $97.38 / $136.58 / $173.67	Facility		$97.38	$136.58	$173.67