Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.12 / $252.00 / $336.00	Facility		$209.12	$252.00	$336.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $383.84	Professional		$38.00	$53.00	$383.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $195.00 / $258.00	Professional		$153.00	$195.00	$258.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.00 / $291.32 / $339.64	Professional		$248.00	$291.32	$339.64
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 $135.30 / $193.96 / $324.31	Professional		$135.30	$193.96	$324.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $208.00 / $301.00	Facility		$176.00	$208.00	$301.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $325.60 / $3,232.79 / $5,085.88	Facility		$325.60	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $241.52 / $320.00	Professional		$177.00	$241.52	$320.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $276.00 / $333.68	Professional		$231.00	$276.00	$333.68
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $65.00 / $86.00	Professional		$51.00	$65.00	$86.00