Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $812.28 / $1,903.99	Professional		$720.00	$812.28	$1,903.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.54 / $519.54 / $649.44	Professional		$519.54	$519.54	$649.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $780.96 / $1,116.77 / $1,679.06	Facility		$780.96	$1,116.77	$1,679.06
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 $500.00 / $780.96 / $1,679.06	Facility		$500.00	$780.96	$1,679.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,550,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,550,000.00
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 $900.00 / $1,200.00 / $1,200.00	Professional		$900.00	$1,200.00	$1,200.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12