Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.44 / $146.44 / $146.44	Professional		$146.44	$146.44	$146.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $106.64 / $106.64	Professional		$23.01	$106.64	$106.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.83 / $236.00 / $378.00	Facility		$148.83	$236.00	$378.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,088.52 / $1,644,088.52 / $1,644,088.52	Facility		$1,644,088.52	$1,644,088.52	$1,644,088.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $23.01 / $106.64 / $106.64	Professional		$23.01	$106.64	$106.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64