Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.07 / $237.07 / $3,672.24	Facility		$237.07	$237.07	$3,672.24
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 $133.62 / $204.66 / $498.20	Facility		$133.62	$204.66	$498.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $889.64 / $889.64 / $889.64	Professional		$889.64	$889.64	$889.64
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 $446.17 / $446.17 / $446.17	Professional		$446.17	$446.17	$446.17
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $138.12 / $293.12 / $79,999.20	Facility		$138.12	$293.12	$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 $491.95 / $687.27 / $786.02	Facility		$491.95	$687.27	$786.02