Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,288.25	Professional		$446.68	$446.68	$1,288.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $588.84 / $588.84	Facility		$109.65	$588.84	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,659,586.91	Facility		$851.14	$851.14	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $758.58 / $912.01	Facility		$549.54	$758.58	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,174.90 / $6,165.95	Facility		$389.05	$1,174.90	$6,165.95