Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.39 / $315.00 / $420.00	Facility		$261.39	$315.00	$420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $53.00 / $479.80	Professional		$38.00	$53.00	$479.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $260.00 / $344.00	Professional		$204.00	$260.00	$344.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $364.15 / $424.55	Professional		$310.00	$364.15	$424.55
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 $169.13 / $242.45 / $405.38	Professional		$169.13	$242.45	$405.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.50 / $260.00 / $345.00	Facility		$212.50	$260.00	$345.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $3,232.79 / $5,085.88	Facility		$407.00	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $305.00 / $400.00	Professional		$236.00	$305.00	$400.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $345.00 / $417.10	Professional		$288.75	$345.00	$417.10
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $65.00 / $81.75	Professional		$51.00	$65.00	$81.75