Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $378.00 / $504.00	Facility		$313.68	$378.00	$504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $575.76	Professional		$38.00	$53.00	$575.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $325.00 / $430.00	Professional		$255.00	$325.00	$430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $436.98 / $509.46	Professional		$372.00	$436.98	$509.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,346.00 / $4,845.79 / $5,085.88	Facility		$4,346.00	$4,845.79	$5,085.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.95 / $290.94 / $486.46	Professional		$202.95	$290.94	$486.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $264.00 / $312.00 / $451.50	Facility		$264.00	$312.00	$451.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.40 / $3,232.79 / $5,085.88	Facility		$488.40	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $371.52 / $480.00	Professional		$295.00	$371.52	$480.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $400.80 / $492.30	Professional		$346.50	$400.80	$492.30
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $65.00 / $82.50	Professional		$51.00	$65.00	$82.50