Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.32 / $1,847.26 / $2,910.76	Facility		$846.32	$1,847.26	$2,910.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $507.78 / $1,067.16	Professional		$507.78	$507.78	$1,067.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $489.34 / $489.34	Professional		$489.34	$489.34	$489.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $507.78 / $507.78 / $1,067.16	Facility		$507.78	$507.78	$1,067.16
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 $507.78 / $507.78 / $1,644,446.92	Facility		$507.78	$507.78	$1,644,446.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $2,250,000.00 / $2,400,000.00	Professional		$489.34	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $2,651.89 / $3,171.06	Facility		$1,918.96	$2,651.89	$3,171.06