Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $266.10 / $266.10 / $266.10	Facility		$266.10	$266.10	$266.10
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 $263.64 / $636.79 / $1,012.87	Facility		$263.64	$636.79	$1,012.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,033.09 / $1,033.09 / $1,033.09	Professional		$1,033.09	$1,033.09	$1,033.09
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 $367.82 / $367.82 / $367.82	Professional		$367.82	$367.82	$367.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $233.47 / $593.00 / $79,999.20	Facility		$233.47	$593.00	$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 $637.02 / $836.00 / $970.46	Facility		$637.02	$836.00	$970.46