Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.39 / $258.39 / $258.39	Facility		$258.39	$258.39	$258.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.40 / $247.40 / $258.39	Professional		$247.40	$247.40	$258.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $170.83 / $170.83	Facility		$170.83	$170.83	$170.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $170.83 / $170.83	Professional		$145.21	$170.83	$170.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.71 / $247.40 / $338.94	Facility		$243.71	$247.40	$338.94
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.45 / $311.45 / $79,999.20	Facility		$311.45	$311.45	$79,999.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $311.45 / $311.45 / $311.45	Professional		$311.45	$311.45	$311.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $257.39 / $2,700,000.00	Facility		$170.83	$257.39	$2,700,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.21 / $170.83 / $2,400,000.00	Professional		$145.21	$170.83	$2,400,000.00