Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691,534.80 / $2,691,534.80 / $2,691,534.80	Facility		$2,691,534.80	$2,691,534.80	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $426.58 / $426.58	Professional		$79.43	$426.58	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11