Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $634.51 / $794.23 / $1,848.80	Professional		$634.51	$794.23	$1,848.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $416.30 / $520.38	Professional		$416.30	$416.30	$520.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $657.14 / $939.71 / $1,412.85	Facility		$657.14	$939.71	$1,412.85
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 $500.00 / $657.14 / $1,412.85	Facility		$500.00	$657.14	$1,412.85
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 $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 $825.00 / $1,100.00 / $1,100.00	Professional		$825.00	$1,100.00	$1,100.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12