Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.97 / $892.05 / $1,352.56	Facility		$412.97	$892.05	$1,352.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.18 / $314.18 / $450.36	Professional		$314.18	$314.18	$450.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $52.02 / $52.02	Professional		$52.02	$52.02	$52.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $314.18 / $314.18 / $494.83	Facility		$314.18	$314.18	$494.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $58.33 / $79.03	Professional		$20.70	$58.33	$79.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $128.26 / $195.32 / $207.70	Facility		$128.26	$195.32	$207.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $314.18 / $314.18 / $1,644,202.00	Facility		$314.18	$314.18	$1,644,202.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.02 / $2,250,000.00 / $2,400,000.00	Professional		$52.02	$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