Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.65 / $144.65 / $144.65	Facility		$144.65	$144.65	$144.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $14.82 / $139.75	Professional		$14.82	$14.82	$139.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $130.77	Professional		$130.77	$130.77	$130.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $15.56 / $31.86	Facility		$14.82	$15.56	$31.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $106.88 / $106.88 / $106.88	Professional		$106.88	$106.88	$106.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $76.19 / $194.00 / $79,999.20	Facility		$76.19	$194.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $17.92 / $31.86	Facility		$14.82	$17.92	$31.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.77 / $130.77 / $2,400,000.00	Professional		$130.77	$130.77	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $235.63 / $299.35 / $358.95	Facility		$235.63	$299.35	$358.95