Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $362.82 / $739.20	Professional		$225.00	$362.82	$739.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $104.49 / $130.61	Professional		$104.49	$104.49	$130.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $247.50 / $483.75	Facility		$225.00	$247.50	$483.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.74 / $413.00 / $687.88	Facility		$162.74	$413.00	$687.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $225.00 / $225.00 / $483.75	Facility		$225.00	$225.00	$483.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,400,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,400,000.00	$2,400,000.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $404.47 / $509.18 / $639.41	Facility		$404.47	$509.18	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $366.04 / $488.05 / $488.05	Professional		$366.04	$488.05	$488.05
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12