Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $380.19	Professional		$263.03	$316.23	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $138.04	Professional		$109.65	$109.65	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $331.13 / $645.65	Facility		$302.00	$331.13	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $398.11	Professional		$263.03	$302.00	$398.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $239.88 / $239.88	Facility		$51.29	$239.88	$239.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,659,586.91	Facility		$302.00	$302.00	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $169.82 / $213.80	Facility		$138.04	$169.82	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $194.98 / $257.04	Facility		$158.49	$194.98	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95