Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,370.40 / $2,370.40 / $2,370.40	Facility		$2,370.40	$2,370.40	$2,370.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $983.72 / $983.72 / $2,742.96	Professional		$983.72	$983.72	$2,742.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,093.86 / $2,093.86 / $2,093.86	Facility		$2,093.86	$2,093.86	$2,093.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,046.93 / $1,135.82	Professional		$1,046.93	$1,046.93	$1,135.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $983.72 / $1,406.72 / $2,115.00	Facility		$983.72	$1,406.72	$2,115.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,361.01 / $79,999.20 / $79,999.20	Facility		$1,361.01	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $983.72 / $1,406.72 / $2,400,000.00	Facility		$983.72	$1,406.72	$2,400,000.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,046.93 / $1,135.82 / $1,382.50	Professional		$1,046.93	$1,135.82	$1,382.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $150.22 / $1,018.70 / $2,536.56	Facility		$150.22	$1,018.70	$2,536.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.20 / $1,185.20 / $1,185.20	Professional		$1,185.20	$1,185.20	$1,185.20