Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $738.18 / $3,550.50	Professional		$541.17	$738.18	$3,550.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.89 / $741.89 / $741.89	Facility		$741.89	$741.89	$741.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $541.58 / $741.89	Professional		$541.58	$541.58	$741.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.41 / $2,385.62 / $3,111.44	Professional		$861.41	$2,385.62	$3,111.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $738.18 / $1,011.31 / $1,230.58	Facility		$738.18	$1,011.31	$1,230.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $914.96 / $1,169.05 / $1,292.10	Professional		$914.96	$1,169.05	$1,292.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $976.78 / $1,230.58 / $1,353.64	Facility		$976.78	$1,230.58	$1,353.64
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $977.57 / $1,230.58 / $1,274.57	Professional		$977.57	$1,230.58	$1,274.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $738.18 / $1,056.85 / $1,292.10	Facility		$738.18	$1,056.85	$1,292.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $541.58 / $1,077.54 / $1,353.64	Professional		$541.58	$1,077.54	$1,353.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,025.25 / $2,046.40 / $4,317.27	Facility		$1,025.25	$2,046.40	$4,317.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,058.30 / $1,353.64 / $1,353.64	Professional		$1,058.30	$1,353.64	$1,353.64
United Facility/Professional Professional Modifier Low / Median / High Price $534.69 / $561.89 / $1,072.02	Professional		$534.69	$561.89	$1,072.02