Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $105.00 / $296.10	Professional		$81.51	$105.00	$296.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.73 / $105.73 / $132.16	Professional		$105.73	$105.73	$132.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.98 / $130.10 / $195.61	Facility		$90.98	$130.10	$195.61
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 $81.22 / $90.98 / $130.10	Facility		$81.22	$90.98	$130.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$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 $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