Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $107.15	Professional		$22.91	$22.91	$107.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $147.91	Professional		$79.43	$79.43	$147.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $380.19 / $380.19	Facility		$147.91	$380.19	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659,586.91 / $1,659,586.91 / $1,659,586.91	Facility		$1,659,586.91	$1,659,586.91	$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 $389.05 / $501.19 / $630.96	Facility		$389.05	$501.19	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $478.63 / $630.96	Facility		$389.05	$478.63	$630.96