Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.76 / $2,747.00 / $7,920.26	Facility		$486.76	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $354.30 / $401.03 / $470.15	Facility	54	$354.30	$401.03	$470.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.94 / $256.18 / $626.87	Professional		$195.94	$256.18	$626.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.81 / $471.07 / $694.06	Professional		$261.81	$471.07	$694.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.35 / $568.50 / $657.94	Professional		$485.35	$568.50	$657.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $262.70 / $418.64 / $585.65	Facility		$262.70	$418.64	$585.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.64 / $426.88 / $675.97	Professional		$365.64	$426.88	$675.97
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $438.18 / $493.79	Facility		$299.44	$438.18	$493.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $307.18 / $418.64 / $653.47	Facility		$307.18	$418.64	$653.47
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $454.18 / $454.18 / $454.18	Facility	54	$454.18	$454.18	$454.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $406.18 / $492.55 / $676.14	Professional		$406.18	$492.55	$676.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $890.90	Facility		$564.70	$724.26	$890.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $442.80 / $580.83 / $770.57	Professional		$442.80	$580.83	$770.57
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $327.81 / $454.92 / $721.45	Professional		$327.81	$454.92	$721.45