Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $316.23	Professional		$38.90	$38.90	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $2,570.40	Facility		$263.03	$263.03	$2,570.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $537.03 / $1,023.29	Facility		$204.17	$537.03	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $263.03 / $489.78	Facility		$35.48	$263.03	$489.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $3,981.07	Facility		$660.69	$2,570.40	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,570.88	Facility		$2,818.38	$3,467.37	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,023.29	Professional		$676.08	$676.08	$1,023.29