Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $20.00 / $652.79	Professional		$10.58	$20.00	$652.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $204.44 / $255.54	Professional		$204.44	$204.44	$255.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $11.64 / $22.75	Facility		$10.58	$11.64	$22.75
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 $10.58 / $10.58 / $22.75	Facility		$10.58	$10.58	$22.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$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 $260.63 / $347.50 / $347.50	Professional		$260.63	$347.50	$347.50
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $20.12 / $20.12	Professional		$20.12	$20.12	$20.12