Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.05 / $2,747.00 / $7,920.26	Facility		$544.05	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $391.11 / $444.46 / $525.54	Facility	54	$391.11	$444.46	$525.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.18 / $331.06 / $700.72	Professional		$231.18	$331.06	$700.72
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 $296.39 / $520.85 / $775.19	Professional		$296.39	$520.85	$775.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $634.96 / $727.50	Professional		$535.26	$634.96	$727.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $304.85 / $471.60 / $660.45	Facility		$304.85	$471.60	$660.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.60 / $478.02 / $752.84	Professional		$414.60	$478.02	$752.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $340.85 / $503.70 / $570.16	Facility		$340.85	$503.70	$570.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $304.85 / $455.04 / $718.23	Facility		$304.85	$455.04	$718.23
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $524.20 / $524.20 / $524.20	Facility	54	$524.20	$524.20	$524.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.88 / $550.16 / $752.78	Professional		$454.88	$550.16	$752.78
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $492.16 / $642.29 / $854.77	Professional		$492.16	$642.29	$854.77
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 $371.10 / $532.70 / $831.44	Professional		$371.10	$532.70	$831.44