Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.72 / $4,283.46 / $8,728.00	Facility		$208.72	$4,283.46	$8,728.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $461.90 / $2,157.34	Professional		$87.40	$461.90	$2,157.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Facility		$150.18	$150.18	$150.18
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.12 / $970.18 / $2,991.83	Professional		$137.12	$970.18	$2,991.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.26 / $845.19 / $2,239.84	Professional		$173.26	$845.19	$2,239.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $845.19 / $3,208.78	Facility		$115.63	$845.19	$3,208.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.74 / $276.89 / $2,485.12	Professional		$147.74	$276.89	$2,485.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $180.23 / $1,750.66 / $2,244.00	Facility		$180.23	$1,750.66	$2,244.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $1,046.92 / $2,926.48	Facility		$115.63	$1,046.92	$2,926.48
Providence Facility/Professional Facility Modifier 62 Low / Median / High Price $1,488.06 / $1,488.06 / $1,488.06	Facility	62	$1,488.06	$1,488.06	$1,488.06
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $380.94 / $380.94 / $380.94	Facility	80	$380.94	$380.94	$380.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.64 / $1,214.78 / $2,787.40	Professional		$169.64	$1,214.78	$2,787.40
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $301.24 / $417.47 / $616.39	Professional	80	$301.24	$417.47	$616.39
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $256.06 / $354.85 / $523.92	Professional	AS	$256.06	$354.85	$523.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $168.32 / $1,144.57 / $2,704.38	Professional		$168.32	$1,144.57	$2,704.38
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 $1,298.30 / $2,332.44 / $3,360.81	Professional		$1,298.30	$2,332.44	$3,360.81