Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,002.45 / $1,002.45 / $1,002.45	Facility		$1,002.45	$1,002.45	$1,002.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.80 / $430.82 / $1,357.60	Professional		$310.80	$430.82	$1,357.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $193.50 / $231.83	Professional		$182.55	$193.50	$231.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $487.58 / $1,048.30	Facility		$487.58	$487.58	$1,048.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $819.29 / $2,081.00 / $2,880.61	Facility		$819.29	$2,081.00	$2,880.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $487.58 / $487.58 / $1,048.30	Facility		$487.58	$487.58	$1,048.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,550,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,550,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,770.64 / $2,514.34 / $3,218.99	Facility		$1,770.64	$2,514.34	$3,218.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $637.04 / $670.57 / $670.57	Professional		$637.04	$670.57	$670.57
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12