Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.99 / $250.79 / $680.00	Professional		$203.99	$250.79	$680.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $254.00 / $317.49	Professional		$254.00	$254.00	$317.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $307.42 / $439.61 / $660.95	Facility		$307.42	$439.61	$660.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.63 / $131.00 / $238.03	Facility		$51.63	$131.00	$238.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $307.42 / $439.61	Facility		$254.00	$307.42	$439.61
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 $136.78 / $171.33 / $214.61	Facility		$136.78	$171.33	$214.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $362.78 / $483.70 / $483.70	Professional		$362.78	$483.70	$483.70
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12