Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.57 / $717.57 / $717.57	Facility		$717.57	$717.57	$717.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $751.56 / $751.56 / $890.93	Professional		$751.56	$751.56	$890.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.77 / $477.77 / $477.77	Professional		$477.77	$477.77	$477.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $751.56 / $751.56 / $1,183.71	Facility		$751.56	$751.56	$1,183.71
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 $751.56 / $751.56 / $1,644,446.92	Facility		$751.56	$751.56	$1,644,446.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $477.77 / $2,250,000.00 / $2,400,000.00	Professional		$477.77	$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