Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Facility		$468.00	$468.00	$468.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $194.22 / $233.06	Professional		$194.22	$194.22	$233.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.40 / $413.40 / $413.40	Facility		$413.40	$413.40	$413.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.70 / $206.70 / $224.25	Professional		$206.70	$206.70	$224.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.39 / $257.39 / $280.80	Facility		$257.39	$257.39	$280.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $146.24 / $146.24 / $423.47	Professional		$146.24	$146.24	$423.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $79,999.20 / $79,999.20	Facility		$148.86	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.39 / $280.80 / $2,400,000.00	Facility		$257.39	$280.80	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.83 / $233.24 / $423.47	Professional		$179.83	$233.24	$423.47
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $197.93 / $447.63	Facility		$110.72	$197.93	$447.63
United Facility/Professional Professional Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Professional		$234.00	$234.00	$234.00