Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.28 / $397.28 / $1,076.74	Facility		$397.28	$397.28	$1,076.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $397.28 / $603.00	Professional		$318.75	$397.28	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.92 / $975.64 / $1,027.15	Facility		$421.92	$975.64	$1,027.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,338.15 / $1,338.15 / $1,338.15	Professional		$1,338.15	$1,338.15	$1,338.15
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 $563.44 / $563.44 / $563.44	Professional		$563.44	$563.44	$563.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $366.42 / $931.00 / $79,999.20	Facility		$366.42	$931.00	$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 $1,338.15 / $1,338.15 / $2,400,000.00	Professional		$1,338.15	$1,338.15	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,005.04 / $1,419.31 / $1,577.58	Facility		$1,005.04	$1,419.31	$1,577.58