Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $400.00 / $1,398.40	Professional		$289.39	$400.00	$1,398.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.01 / $280.01 / $350.02	Professional		$280.01	$280.01	$350.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $401.62 / $574.32 / $863.48	Facility		$401.62	$574.32	$863.48
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 $360.06 / $401.62 / $574.32	Facility		$360.06	$401.62	$574.32
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 $643.40 / $857.86 / $857.86	Professional		$643.40	$857.86	$857.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12