Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $309.50 / $836.94	Facility		$76.56	$309.50	$836.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.22 / $297.68 / $491.81	Professional		$226.22	$297.68	$491.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $348.00	Professional		$348.00	$348.00	$348.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $226.22 / $237.53 / $486.37	Facility		$226.22	$237.53	$486.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $409.69 / $409.69 / $409.69	Professional		$409.69	$409.69	$409.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $346.98 / $881.00 / $79,999.20	Facility		$346.98	$881.00	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $226.22 / $273.61 / $486.37	Facility		$226.22	$273.61	$486.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $348.00 / $348.00 / $2,400,000.00	Professional		$348.00	$348.00	$2,400,000.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $907.65 / $1,201.83 / $1,442.29	Facility		$907.65	$1,201.83	$1,442.29