Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $522.79 / $630.00 / $840.00	Facility		$522.79	$630.00	$840.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $959.60	Professional		$38.00	$53.00	$959.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $585.00 / $774.00	Professional		$459.00	$585.00	$774.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $728.30 / $849.10	Professional		$620.00	$728.30	$849.10
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 $338.25 / $484.90 / $810.77	Professional		$338.25	$484.90	$810.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $425.00 / $520.00 / $690.00	Facility		$425.00	$520.00	$690.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,232.79 / $5,085.88	Facility		$814.00	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $531.00 / $625.00 / $807.75	Professional		$531.00	$625.00	$807.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $577.50 / $690.00 / $834.20	Professional		$577.50	$690.00	$834.20
United Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $65.00 / $83.00	Professional		$53.00	$65.00	$83.00