Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $97.56 / $126.72	Professional		$21.00	$97.56	$126.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $62.78 / $78.47	Professional		$62.78	$62.78	$78.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.56 / $139.51 / $209.75	Facility		$97.56	$139.51	$209.75
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 $22.00 / $97.56 / $139.51	Facility		$22.00	$97.56	$139.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$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 $26.65 / $34.81 / $34.81	Professional		$26.65	$34.81	$34.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12