Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.89 / $645.65	Professional		$10.00	$20.89	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $257.04	Professional		$204.17	$204.17	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $11.75 / $22.91	Facility		$10.47	$11.75	$22.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $588.84	Professional		$10.00	$19.95	$588.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $691.83 / $691.83	Facility		$162.18	$691.83	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $1,659,586.91	Facility		$10.47	$10.47	$1,659,586.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $79.43 / $79.43	Professional		$70.79	$79.43	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $537.03 / $645.65	Facility		$407.38	$537.03	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $346.74 / $346.74	Professional		$331.13	$346.74	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $630.96 / $831.76	Facility		$512.86	$630.96	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95