Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.35 / $1,036.35 / $1,036.35	Facility		$1,036.35	$1,036.35	$1,036.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.09 / $430.09 / $516.11	Professional		$430.09	$430.09	$516.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $915.46 / $915.46 / $915.46	Facility		$915.46	$915.46	$915.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $496.59	Professional		$457.73	$457.73	$496.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $570.00 / $621.82	Facility		$570.00	$570.00	$621.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $526.39 / $795.18 / $17,728.12	Professional		$526.39	$795.18	$17,728.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $457.73 / $457.73 / $79,999.20	Facility		$457.73	$457.73	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $621.82 / $2,400,000.00	Facility		$570.00	$621.82	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $457.73 / $457.73 / $944.54	Professional		$457.73	$457.73	$944.54
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,279.79 / $1,279.79 / $1,279.79	Facility		$1,279.79	$1,279.79	$1,279.79
United Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $518.17 / $621.82	Professional		$518.17	$518.17	$621.82