Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.63 / $425.63 / $425.63	Facility		$425.63	$425.63	$425.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $400.00 / $603.00	Professional		$318.75	$400.00	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $421.92 / $1,018.62 / $1,047.49	Facility		$421.92	$1,018.62	$1,047.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,079.31 / $1,079.31 / $1,079.31	Professional		$1,079.31	$1,079.31	$1,079.31
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 $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 $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 $851.78 / $1,318.98 / $1,577.58	Facility		$851.78	$1,318.98	$1,577.58