Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $150.75 / $1,120.00	Professional		$68.81	$150.75	$1,120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.94 / $118.94 / $148.68	Professional		$118.94	$118.94	$148.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.18 / $279.11 / $419.64	Facility		$195.18	$279.11	$419.64
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 $149.83 / $195.18 / $279.11	Facility		$149.83	$195.18	$279.11
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 $353.70 / $471.60 / $471.60	Professional		$353.70	$471.60	$471.60
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12