Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.52 / $567.00 / $756.00	Facility		$470.52	$567.00	$756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $863.64	Professional		$38.00	$53.00	$863.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.00 / $520.00 / $688.00	Professional		$408.00	$520.00	$688.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $558.00 / $655.47 / $764.19	Professional		$558.00	$655.47	$764.19
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 $313.64 / $423.00 / $729.69	Professional		$313.64	$423.00	$729.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $396.00 / $468.00 / $677.25	Facility		$396.00	$468.00	$677.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.60 / $3,232.79 / $5,085.88	Facility		$732.60	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $472.00 / $562.50 / $720.00	Professional		$472.00	$562.50	$720.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $519.75 / $621.00 / $750.78	Professional		$519.75	$621.00	$750.78
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $65.00 / $82.50	Professional		$52.00	$65.00	$82.50