Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,000.00 / $1,862.09	Facility		$389.05	$1,000.00	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,659,586.91	Facility		$1,096.48	$1,096.48	$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 $1,047.13 / $1,258.93 / $1,621.81	Facility		$1,047.13	$1,258.93	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $1,949.84	Facility		$1,202.26	$1,513.56	$1,949.84