Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.45 / $10,294.60 / $32,189.73	Facility		$661.45	$10,294.60	$32,189.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $673.30 / $673.30 / $10,294.60	Professional		$673.30	$673.30	$10,294.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $362.25 / $362.25	Professional		$362.25	$362.25	$362.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $673.30 / $673.30 / $1,447.60	Facility		$673.30	$673.30	$1,447.60
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,481.81 / $26,624.00 / $79,999.20	Facility		$10,481.81	$26,624.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.30 / $843.31 / $1,447.60	Facility		$673.30	$843.31	$1,447.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.25 / $2,250,000.00 / $2,400,000.00	Professional		$362.25	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,340.00 / $25,152.00 / $66,587.00	Facility		$3,340.00	$25,152.00	$66,587.00