Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.13 / $4.13 / $8.26	Facility		$4.13	$4.13	$8.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $3.43 / $4.13	Professional		$3.43	$3.43	$4.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $6.88 / $6.88	Facility		$6.88	$6.88	$6.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.73	Professional		$3.44	$3.44	$3.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3.43 / $4.90 / $7.37	Facility		$3.43	$4.90	$7.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
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 $3.43 / $4.90 / $2,400,000.00	Facility		$3.43	$4.90	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $3.44 / $3.73	Professional		$3.44	$3.44	$3.73
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,793.95 / $7,793.95 / $7,793.95	Facility		$7,793.95	$7,793.95	$7,793.95
United Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.13	Professional		$4.13	$4.13	$4.13