Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $4,343.43 / $4,994.93	Facility		$204.90	$4,343.43	$4,994.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.97 / $1,801.27 / $3,204.39	Professional		$283.97	$1,801.27	$3,204.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.08 / $287.08 / $287.08	Facility		$287.08	$287.08	$287.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $143.26 / $143.26	Professional		$143.26	$143.26	$143.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.95 / $405.12 / $428.63	Professional		$338.95	$405.12	$428.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.97 / $356.29 / $2,387.21	Facility		$283.97	$356.29	$2,387.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $204.90 / $222.71 / $371.18	Facility		$204.90	$222.71	$371.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.13 / $298.17 / $2,170.19	Facility		$256.13	$298.17	$2,170.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.26 / $256.13 / $470.90	Professional		$143.26	$256.13	$470.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.90 / $204.90 / $204.90	Professional		$204.90	$204.90	$204.90
United Facility/Professional Professional Modifier Low / Median / High Price $2,170.19 / $2,170.19 / $2,495.73	Professional		$2,170.19	$2,170.19	$2,495.73