Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $318.75 / $603.00	Professional		$318.75	$318.75	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.64 / $636.79 / $933.74	Facility		$263.64	$636.79	$933.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,164.08 / $1,164.08 / $1,164.08	Professional		$1,164.08	$1,164.08	$1,164.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $603.00 / $949.73	Facility		$318.75	$603.00	$949.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.82 / $367.82 / $367.82	Professional		$367.82	$367.82	$367.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $174.44 / $593.00 / $79,999.20	Facility		$174.44	$593.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.75 / $603.00 / $1,296.45	Facility		$318.75	$603.00	$1,296.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $637.02 / $836.00 / $970.46	Facility		$637.02	$836.00	$970.46