Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $691.83	Professional		$323.59	$446.68	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,621.81 / $2,041.74	Professional		$741.31	$1,621.81	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $1,000.00	Facility		$575.44	$758.58	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,071.52	Professional		$724.44	$794.33	$1,071.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $977.24 / $1,000.00	Facility		$794.33	$977.24	$1,000.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,000.00	Professional		$891.25	$1,000.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $741.31 / $1,122.02	Facility		$436.52	$741.31	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $851.14 / $1,047.13	Professional		$87.10	$851.14	$1,047.13
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,412.54 / $3,801.89	Facility		$831.76	$1,412.54	$3,801.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,122.02 / $1,122.02	Professional		$1,000.00	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $1,621.81	Facility		$275.42	$501.19	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $371.54 / $707.95	Professional		$338.84	$371.54	$707.95