Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $450.67 / $857.17	Professional		$360.00	$450.67	$857.17
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 $519.54 / $742.96 / $1,117.03	Facility		$519.54	$742.96	$1,117.03
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $819.29 / $2,081.00 / $2,880.61	Facility		$819.29	$2,081.00	$2,880.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $519.54 / $800.00	Facility		$400.00	$519.54	$800.00
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 $1,770.64 / $2,514.34 / $3,218.99	Facility		$1,770.64	$2,514.34	$3,218.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $400.00 / $400.00	Professional		$300.00	$400.00	$400.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12