Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $16.39 / $16.39	Professional		$16.39	$16.39	$16.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $24.33 / $78.09	Facility		$23.17	$24.33	$78.09
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 $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 $23.17 / $23.17 / $78.09	Facility		$23.17	$23.17	$78.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $2,250,000.00 / $2,400,000.00	Professional		$16.39	$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