Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.48 / $189.48 / $189.48	Facility		$189.48	$189.48	$189.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.63 / $78.63 / $94.36	Professional		$78.63	$78.63	$94.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.38 / $167.38 / $167.38	Facility		$167.38	$167.38	$167.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $90.80	Professional		$83.69	$83.69	$90.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $94.74 / $104.21	Facility		$80.53	$94.74	$104.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $17,150.38 / $18,772.80	Professional		$77.70	$17,150.38	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $79,999.20 / $79,999.20	Facility		$90.00	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $104.21 / $2,400,000.00	Facility		$80.53	$104.21	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $83.69 / $2,250,000.00	Professional		$77.70	$83.69	$2,250,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $407.57 / $407.57	Facility		$407.57	$407.57	$407.57
United Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $94.74 / $108.95	Professional		$80.53	$94.74	$108.95