Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $146.58 / $319.77	Professional		$79.15	$146.58	$319.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.40 / $944.85 / $1,043.11	Facility		$583.40	$944.85	$1,043.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.91 / $358.91 / $358.91	Professional		$358.91	$358.91	$358.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $500.00 / $541.02	Facility		$500.00	$500.00	$541.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,200.00 / $3,200.00 / $3,200.00	Facility		$3,200.00	$3,200.00	$3,200.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $541.02 / $944.85	Facility		$500.00	$541.02	$944.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.91 / $2,400,000.00 / $2,550,000.00	Professional		$358.91	$2,400,000.00	$2,550,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $2,800.00	Professional		$2,800.00	$2,800.00	$2,800.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,508.00 / $2,508.00 / $2,508.00	Professional		$2,508.00	$2,508.00	$2,508.00