Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.48 / $708.98 / $708.98	Facility		$538.48	$708.98	$708.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $127.22 / $128.13	Professional		$127.22	$127.22	$128.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $36.70 / $36.70	Professional		$36.70	$36.70	$36.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $127.22 / $273.52	Facility		$127.22	$127.22	$273.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $79,999.20 / $79,999.20	Facility		$184.00	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.22 / $127.22 / $2,400,000.00	Facility		$127.22	$127.22	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.70 / $2,250,000.00 / $2,400,000.00	Professional		$36.70	$2,250,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $339.08 / $391.65 / $398.92	Facility		$339.08	$391.65	$398.92