Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.07 / $237.07 / $237.07	Facility		$237.07	$237.07	$237.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $425.00 / $603.00	Professional		$400.00	$425.00	$603.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $421.92 / $1,027.15	Facility		$64.00	$421.92	$1,027.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $603.00 / $949.73	Facility		$425.00	$603.00	$949.73
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $330.40 / $931.00 / $79,999.20	Facility		$330.40	$931.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $603.00 / $1,296.45	Facility		$425.00	$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 $851.78 / $1,318.98 / $1,577.58	Facility		$851.78	$1,318.98	$1,577.58