Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.27 / $19.27 / $19.27	Professional		$19.27	$19.27	$19.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $68.79 / $68.79	Professional		$68.79	$68.79	$68.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $20.23 / $56.00	Facility		$19.27	$20.23	$56.00
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 $19.27 / $19.27 / $56.00	Facility		$19.27	$19.27	$56.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.79 / $2,250,000.00 / $2,400,000.00	Professional		$68.79	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $20.69 / $20.69	Professional		$19.66	$20.69	$20.69