Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.61 / $4,684.68 / $8,728.00	Facility		$441.61	$4,684.68	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.33 / $1,075.58 / $3,777.48	Professional		$174.33	$1,075.58	$3,777.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $1,323.86 / $4,861.62	Professional		$320.58	$1,323.86	$4,861.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.06 / $553.99 / $3,363.11	Professional		$377.06	$553.99	$3,363.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $271.14 / $1,273.94 / $4,784.93	Facility		$271.14	$1,273.94	$4,784.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $2,141.82 / $4,257.67	Professional		$323.95	$2,141.82	$4,257.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $362.47 / $2,638.74 / $4,322.88	Facility		$362.47	$2,638.74	$4,322.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $271.14 / $2,639.38 / $4,784.93	Facility		$271.14	$2,639.38	$4,784.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $384.64 / $2,003.17 / $4,543.60	Professional		$384.64	$2,003.17	$4,543.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $389.09 / $692.47 / $4,042.98	Professional		$389.09	$692.47	$4,042.98
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 $3,198.20 / $4,174.10 / $5,699.38	Professional		$3,198.20	$4,174.10	$5,699.38