Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $988.26 / $1,648.00	Professional		$900.00	$988.26	$1,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $736.38 / $920.47	Professional		$736.38	$736.38	$920.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $988.26 / $1,413.21 / $2,124.76	Facility		$988.26	$1,413.21	$2,124.76
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 $712.50 / $988.26 / $1,413.21	Facility		$712.50	$988.26	$1,413.21
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 $404.47 / $509.18 / $639.41	Facility		$404.47	$509.18	$639.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,560.00 / $1,560.00	Professional		$1,170.00	$1,560.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12