Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $4,684.68 / $8,728.00	Facility		$189.09	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.37 / $442.30 / $817.66	Professional		$98.37	$442.30	$817.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $149.37 / $149.37	Facility		$149.37	$149.37	$149.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $405.36 / $1,368.96	Professional		$136.71	$405.36	$1,368.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.54 / $235.40 / $1,209.46	Professional		$172.54	$235.40	$1,209.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.71 / $500.87 / $1,093.95	Facility		$115.71	$500.87	$1,093.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $694.62 / $1,265.49	Professional		$147.18	$694.62	$1,265.49
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $184.96 / $833.48 / $1,011.03	Facility		$184.96	$833.48	$1,011.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.71 / $549.55 / $1,244.01	Facility		$115.71	$549.55	$1,244.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $621.16 / $1,339.55	Professional		$168.45	$621.16	$1,339.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $620.16 / $1,309.99	Professional		$168.32	$620.16	$1,309.99
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 $492.98 / $890.10 / $1,454.92	Professional		$492.98	$890.10	$1,454.92