Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $915.32 / $7,920.26 / $20,400.00	Facility		$915.32	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,888.42 / $4,012.80	Professional		$3,800.00	$3,888.42	$4,012.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $5,141.25 / $5,141.25	Professional		$5,141.25	$5,141.25	$5,141.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $3,888.42 / $8,360.10	Facility		$3,888.42	$3,888.42	$8,360.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $8,777.41 / $22,295.00 / $79,999.20	Facility		$8,777.41	$22,295.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,888.42 / $3,888.42 / $8,360.10	Facility		$3,888.42	$3,888.42	$8,360.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,141.25 / $2,250,000.00 / $2,400,000.00	Professional		$5,141.25	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,740.27 / $27,709.28 / $34,486.44	Facility		$22,740.27	$27,709.28	$34,486.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00