Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $870.00 / $1,680.00	Facility		$750.00	$870.00	$1,680.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $510.00 / $1,170.00	Professional		$300.00	$510.00	$1,170.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $1,501.50 / $1,743.30	Facility		$975.00	$1,501.50	$1,743.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.35 / $637.97 / $1,076.22	Professional		$279.35	$637.97	$1,076.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $1,317.46 / $1,578.74	Professional		$600.00	$1,317.46	$1,578.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $630.00 / $1,320.00	Facility		$450.00	$630.00	$1,320.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $810.00	Professional		$600.00	$600.00	$810.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $630.00 / $1,050.00	Facility		$600.00	$630.00	$1,050.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $759.00 / $1,501.50	Facility		$630.00	$759.00	$1,501.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $632.52 / $690.00 / $864.00	Professional		$632.52	$690.00	$864.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,170.00 / $1,825.80 / $2,478.84	Facility		$1,170.00	$1,825.80	$2,478.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,059.94 / $1,179.99 / $1,887.53	Professional		$1,059.94	$1,179.99	$1,887.53
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $252.00 / $720.00	Professional		$252.00	$252.00	$720.00