Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $378.00 / $504.00	Facility		$313.68	$378.00	$504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $570.00	Professional		$38.00	$48.00	$570.00
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $543.15 / $1,260.00 / $1,260.00	Professional	AA	$543.15	$1,260.00	$1,260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $325.00 / $430.00	Professional		$255.00	$325.00	$430.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.00 / $436.98 / $509.46	Professional		$372.00	$436.98	$509.46
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 $202.95 / $290.94 / $486.46	Professional		$202.95	$290.94	$486.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $255.00 / $312.00 / $414.00	Facility		$255.00	$312.00	$414.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.40 / $3,232.79 / $5,085.88	Facility		$488.40	$3,232.79	$5,085.88
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QK	$244.20	$244.20	$244.20
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QX	$244.20	$244.20	$244.20
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $244.20 / $244.20 / $244.20	Facility	QY	$244.20	$244.20	$244.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $370.75 / $480.00	Professional		$295.00	$370.75	$480.00
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $171.00 / $183.00 / $244.20	Professional	QX	$171.00	$183.00	$244.20
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $171.00 / $183.00 / $244.20	Professional	QY	$171.00	$183.00	$244.20
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $346.50 / $414.00 / $500.52	Professional		$346.50	$414.00	$500.52
Regence BlueShield Facility/Professional Professional Modifier QX Low / Median / High Price $173.25 / $207.00 / $250.26	Professional	QX	$173.25	$207.00	$250.26
Regence BlueShield Facility/Professional Professional Modifier QY Low / Median / High Price $173.25 / $207.00 / $250.26	Professional	QY	$173.25	$207.00	$250.26
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $65.00 / $82.50	Professional		$52.00	$65.00	$82.50