Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $928.59 / $928.59 / $928.59	Facility		$928.59	$928.59	$928.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.41 / $791.41 / $928.59	Professional		$791.41	$791.41	$928.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $271.26 / $271.26	Professional		$271.26	$271.26	$271.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $791.41 / $1,246.47	Facility		$791.41	$791.41	$1,246.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $762.88 / $1,938.00 / $79,999.20	Facility		$762.88	$1,938.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $791.41 / $791.41 / $1,644,446.92	Facility		$791.41	$791.41	$1,644,446.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.26 / $2,250,000.00 / $2,400,000.00	Professional		$271.26	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $2,531.21 / $2,997.36	Facility		$1,918.96	$2,531.21	$2,997.36