Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.08 / $342.08 / $342.08	Facility		$342.08	$342.08	$342.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $342.08 / $603.00	Professional		$318.75	$342.08	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.92 / $1,018.62 / $1,236.33	Facility		$421.92	$1,018.62	$1,236.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,761.84 / $1,761.84 / $1,761.84	Professional		$1,761.84	$1,761.84	$1,761.84
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 $323.92 / $931.00 / $79,999.20	Facility		$323.92	$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 $1,761.84 / $1,761.84 / $2,400,000.00	Professional		$1,761.84	$1,761.84	$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