Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $419.98 / $1,037.59	Facility		$419.98	$419.98	$1,037.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $430.60 / $446.17	Professional		$410.09	$430.60	$446.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.98 / $419.98 / $839.96	Facility		$419.98	$419.98	$839.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $430.60 / $430.60 / $925.79	Facility		$430.60	$430.60	$925.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $79,999.20 / $79,999.20 / $79,999.20	Facility		$79,999.20	$79,999.20	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $420.23 / $430.60 / $925.79	Facility		$420.23	$430.60	$925.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $440.98 / $440.98 / $440.98	Professional		$440.98	$440.98	$440.98
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $298.72 / $298.72 / $1,318.21	Facility		$298.72	$298.72	$1,318.21