Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.43 / $369.44 / $1,600.00	Professional		$336.43	$369.44	$1,600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.50 / $168.50 / $210.63	Professional		$168.50	$168.50	$210.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $369.44 / $528.29 / $794.30	Facility		$369.44	$528.29	$794.30
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.74 / $413.00 / $687.88	Facility		$162.74	$413.00	$687.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $344.85 / $369.44 / $600.00	Facility		$344.85	$369.44	$600.00
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 $404.47 / $509.18 / $639.41	Facility		$404.47	$509.18	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $200.00 / $200.00	Professional		$150.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12