Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $8,878.56 / $20,400.00	Facility		$2,747.00	$8,878.56	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,605.86 / $1,811.41 / $1,811.41	Professional		$1,605.86	$1,811.41	$1,811.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,116.30 / $2,116.30	Professional		$2,116.30	$2,116.30	$2,116.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $1,811.41 / $3,894.53	Facility		$1,811.41	$1,811.41	$3,894.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4,930.08 / $12,522.00 / $79,999.20	Facility		$4,930.08	$12,522.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,811.41 / $1,811.41 / $3,894.53	Facility		$1,811.41	$1,811.41	$3,894.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,116.30 / $2,250,000.00 / $2,400,000.00	Professional		$2,116.30	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,927.24 / $16,067.82 / $19,370.28	Facility		$11,927.24	$16,067.82	$19,370.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00