Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $380.19 / $602.56	Facility		$181.97	$380.19	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,659,586.91	Facility		$691.83	$691.83	$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 $660.69 / $812.83 / $1,047.13	Facility		$660.69	$812.83	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $870.96 / $1,148.15	Facility		$707.95	$870.96	$1,148.15