Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $22.16 / $22.16	Professional		$22.16	$22.16	$22.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $228.00 / $228.00	Professional		$228.00	$228.00	$228.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $23.27 / $78.50	Facility		$22.16	$23.27	$78.50
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 $22.16 / $22.16 / $78.50	Facility		$22.16	$22.16	$78.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $2,250,000.00 / $2,400,000.00	Professional		$228.00	$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