Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.56 / $3,829.06 / $15,341.00	Facility		$420.56	$3,829.06	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.28 / $704.95 / $1,791.16	Professional		$216.28	$704.95	$1,791.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $359.66 / $359.66 / $359.66	Facility		$359.66	$359.66	$359.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.52 / $756.89 / $2,822.51	Professional		$326.52	$756.89	$2,822.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $422.40 / $576.28 / $2,487.92	Professional		$422.40	$576.28	$2,487.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $276.64 / $1,042.97 / $2,665.31	Facility		$276.64	$1,042.97	$2,665.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $355.50 / $1,591.01 / $2,653.06	Professional		$355.50	$1,591.01	$2,653.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.27 / $1,958.74 / $2,133.28	Facility		$456.27	$1,958.74	$2,133.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.45 / $1,107.50 / $2,668.69	Facility		$279.45	$1,107.50	$2,668.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.45 / $1,319.75 / $2,807.31	Professional		$401.45	$1,319.75	$2,807.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $401.39 / $1,254.29 / $2,736.80	Professional		$401.39	$1,254.29	$2,736.80
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 $1,108.67 / $2,119.67 / $3,221.95	Professional		$1,108.67	$2,119.67	$3,221.95