Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $425.00 / $425.00	Facility		$425.00	$425.00	$425.00
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 / $1,040.19	Facility		$421.92	$1,018.62	$1,040.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,211.13 / $1,211.13 / $1,211.13	Professional		$1,211.13	$1,211.13	$1,211.13
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 $346.93 / $931.00 / $79,999.20	Facility		$346.93	$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 $1,005.04 / $1,419.31 / $1,577.58	Facility		$1,005.04	$1,419.31	$1,577.58