Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.34 / $1,687.80 / $7,920.26	Facility		$170.34	$1,687.80	$7,920.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $494.75 / $2,225.00	Professional		$72.70	$494.75	$2,225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.46 / $358.58 / $1,161.41	Professional		$135.46	$358.58	$1,161.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $345.61 / $909.23	Professional		$143.96	$345.61	$909.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $345.61 / $1,385.50	Facility		$107.23	$345.61	$1,385.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.69 / $580.16 / $1,153.28	Professional		$121.69	$580.16	$1,153.28
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $153.43 / $715.87 / $1,016.39	Facility		$153.43	$715.87	$1,016.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.23 / $662.62 / $1,350.41	Facility		$107.23	$662.62	$1,350.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $486.56 / $1,129.55	Professional		$148.50	$486.56	$1,129.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $263.85 / $1,099.09	Professional		$148.25	$263.85	$1,099.09
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $728.16 / $1,001.66 / $1,287.58	Professional		$728.16	$1,001.66	$1,287.58