Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $46.29 / $203.25	Facility		$23.15	$46.29	$203.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.15 / $23.15 / $70.00	Professional		$23.15	$23.15	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $37.63	Facility		$23.15	$23.15	$37.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,728.12 / $18,772.80	Professional		$13,910.16	$17,728.12	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.15 / $23.15 / $49.77	Facility		$23.15	$23.15	$49.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $2,400,000.00	Professional		$50.59	$50.59	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $17.51 / $18.57	Facility		$16.68	$17.51	$18.57
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $17.51 / $17.51	Professional		$16.63	$17.51	$17.51