Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.00 / $1,607.49 / $1,920.00	Facility		$816.00	$1,607.49	$1,920.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.80 / $796.80 / $7,438.76	Professional		$796.80	$796.80	$7,438.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,616.63 / $1,616.63 / $3,060.00	Facility		$1,616.63	$1,616.63	$3,060.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $96.60 / $3,005.99	Professional		$43.38	$96.60	$3,005.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $1,056.00 / $1,713.12	Facility		$81.06	$1,056.00	$1,713.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.56 / $117.98 / $1,210.95	Professional		$56.56	$117.98	$1,210.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,932.62 / $2,074.17 / $79,999.20	Facility		$1,932.62	$2,074.17	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,056.00 / $1,616.63 / $3,060.00	Facility		$1,056.00	$1,616.63	$3,060.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $1,428.01 / $3,494.10	Professional		$78.14	$1,428.01	$3,494.10
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,715.15 / $3,347.09 / $6,489.26	Facility		$1,715.15	$3,347.09	$6,489.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $816.00 / $816.00 / $816.00	Professional		$816.00	$816.00	$816.00
United Facility/Professional Professional Modifier Low / Median / High Price $800.00 / $800.00 / $920.00	Professional		$800.00	$800.00	$920.00