Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.98 / $5,649.00 / $15,341.00	Facility		$323.98	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $37.43 / $37.43	Professional		$29.50	$37.43	$37.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $13.20 / $13.20	Professional		$13.20	$13.20	$13.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $63.43	Facility		$29.50	$29.50	$63.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $431.76 / $1,520.00 / $79,999.20	Facility		$431.76	$1,520.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $30.98 / $63.43	Facility		$29.50	$30.98	$63.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $2,250,000.00 / $2,400,000.00	Professional		$13.20	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,400.90 / $1,985.16 / $2,351.11	Facility		$1,400.90	$1,985.16	$2,351.11
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00