Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.96 / $441.00 / $588.00	Facility		$365.96	$441.00	$588.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $671.72	Professional		$38.00	$53.00	$671.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $390.00 / $516.00	Professional		$306.00	$390.00	$516.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $434.00 / $509.81 / $594.37	Professional		$434.00	$509.81	$594.37
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 $236.78 / $339.43 / $567.54	Professional		$236.78	$339.43	$567.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $364.00 / $526.75	Facility		$308.00	$364.00	$526.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $569.79 / $3,232.79 / $5,085.88	Facility		$569.79	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.00 / $434.42 / $560.00	Professional		$354.00	$434.42	$560.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $404.25 / $483.00 / $583.94	Professional		$404.25	$483.00	$583.94
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $65.00 / $82.50	Professional		$51.00	$65.00	$82.50