Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.83 / $332.17 / $345.58	Professional		$299.83	$332.17	$345.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $136.81	Professional		$109.45	$109.45	$136.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.83 / $428.77 / $644.66	Facility		$299.83	$428.77	$644.66
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 $283.45 / $299.83 / $500.00	Facility		$283.45	$299.83	$500.00
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
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12