Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.46 / $11.46 / $11.46	Facility		$11.46	$11.46	$11.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $4.76 / $5.71	Professional		$4.76	$4.76	$5.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.74 / $9.74 / $9.74	Facility		$9.74	$9.74	$9.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $6.30 / $6.30	Facility		$6.30	$6.30	$6.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $17,150.38 / $18,772.80	Professional		$5.81	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $4.93 / $79,999.20	Facility		$4.93	$4.93	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.30 / $9.74 / $2,400,000.00	Facility		$6.30	$9.74	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4.87 / $4.87 / $4.87	Professional		$4.87	$4.87	$4.87
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $443.90 / $443.90 / $443.90	Facility		$443.90	$443.90	$443.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $5.73	Professional		$5.73	$5.73	$5.73