Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.08 / $693.00 / $924.00	Facility		$575.08	$693.00	$924.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $1,055.56	Professional		$38.00	$53.00	$1,055.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $650.00 / $860.00	Professional		$510.00	$650.00	$860.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $682.00 / $801.13 / $934.01	Professional		$682.00	$801.13	$934.01
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 $372.08 / $533.50 / $891.84	Professional		$372.08	$533.50	$891.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $484.00 / $572.00 / $827.75	Facility		$484.00	$572.00	$827.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $895.40 / $3,232.79 / $5,085.88	Facility		$895.40	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $590.00 / $690.00 / $895.40	Professional		$590.00	$690.00	$895.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $635.25 / $734.80 / $902.55	Professional		$635.25	$734.80	$902.55
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $65.00 / $82.50	Professional		$52.00	$65.00	$82.50