Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $203.25	Facility		$51.74	$51.74	$203.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $25.87 / $25.87	Professional		$8.32	$25.87	$25.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $18.77 / $18.77	Professional		$18.77	$18.77	$18.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $25.87 / $35.44	Facility		$8.00	$25.87	$35.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17,728.12 / $17,728.12 / $17,728.12	Professional		$17,728.12	$17,728.12	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $103.50 / $135.00 / $79,999.20	Facility		$103.50	$135.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $8.00 / $25.87 / $35.44	Facility		$8.00	$25.87	$35.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.77 / $2,250,000.00 / $2,400,000.00	Professional		$18.77	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $17.51 / $17.51	Professional		$16.63	$17.51	$17.51