Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,102.00 / $2,128.00	Facility		$950.00	$1,102.00	$2,128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $511.79 / $646.00 / $1,482.00	Professional		$511.79	$646.00	$1,482.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,235.00 / $1,566.83 / $2,208.17	Facility		$1,235.00	$1,566.83	$2,208.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $838.44 / $1,363.49	Professional		$280.33	$838.44	$1,363.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $1,669.01 / $2,000.03	Professional		$760.00	$1,669.01	$2,000.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $798.00 / $1,584.98	Facility		$570.00	$798.00	$1,584.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $1,026.00	Professional		$760.00	$760.00	$1,026.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $798.00 / $1,677.70	Facility		$760.00	$798.00	$1,677.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $798.00 / $961.40 / $1,672.00	Facility		$798.00	$961.40	$1,672.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $842.94 / $1,094.40	Professional		$760.00	$842.94	$1,094.40
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,482.00 / $2,312.67 / $2,984.13	Facility		$1,482.00	$2,312.67	$2,984.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,342.44 / $1,494.38 / $2,390.59	Professional		$1,342.44	$1,494.38	$2,390.59
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $319.20 / $798.00	Professional		$252.88	$319.20	$798.00