Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.64 / $263.64 / $2,565.44	Facility		$263.64	$263.64	$2,565.44
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $202.67 / $528.36 / $984.77	Facility		$202.67	$528.36	$984.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.64 / $263.64 / $1,644,548.32	Facility		$263.64	$263.64	$1,644,548.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $662.37 / $1,164.71 / $3,734.51	Facility		$662.37	$1,164.71	$3,734.51