Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.68 / $378.00 / $504.00	Facility		$313.68	$378.00	$504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $53.00 / $776.00	Professional		$40.00	$53.00	$776.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.50 / $322.89 / $439.25	Professional		$252.50	$322.89	$439.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $310.00 / $364.15 / $420.00	Professional		$310.00	$364.15	$420.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,346.00 / $4,845.79 / $5,085.88	Facility		$4,346.00	$4,845.79	$5,085.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $13,910.16 / $18,772.80	Professional		$212.50	$13,910.16	$18,772.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $312.00 / $414.00	Facility		$234.00	$312.00	$414.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.00 / $3,232.79 / $5,085.88	Facility		$407.00	$3,232.79	$5,085.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $285.00 / $322.89 / $418.75	Professional		$285.00	$322.89	$418.75
United Facility/Professional Professional Modifier Low / Median / High Price $235.77 / $235.77 / $235.77	Professional		$235.77	$235.77	$235.77