Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.28 / $442.28 / $1,293.42	Professional		$442.28	$442.28	$1,293.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $232.73 / $369.00 / $591.00	Facility		$232.73	$369.00	$591.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $1,644,131.36	Facility		$842.00	$842.00	$1,644,131.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $442.28 / $442.28 / $1,293.42	Professional		$442.28	$442.28	$1,293.42
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $555.45 / $674.64 / $914.40	Facility		$555.45	$674.64	$914.40
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00