Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.84 / $672.60 / $2,126.41	Facility		$54.84	$672.60	$2,126.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $2,126.41	Professional		$44.59	$44.59	$2,126.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $343.67 / $343.67	Professional		$343.67	$343.67	$343.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $44.59 / $551.00	Facility		$44.59	$44.59	$551.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $611.99 / $1,554.00 / $79,999.20	Facility		$611.99	$1,554.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $44.59 / $2,400,000.00	Facility		$44.59	$44.59	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $2,250,000.00 / $2,400,000.00	Professional		$343.67	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,422.01 / $1,872.95 / $2,404.51	Facility		$1,422.01	$1,872.95	$2,404.51