Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.65 / $2,747.00 / $7,920.26	Facility		$727.65	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $501.10 / $569.55 / $702.31	Facility	54	$501.10	$569.55	$702.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.83 / $415.68 / $911.40	Professional		$291.83	$415.68	$911.40
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 $394.13 / $682.51 / $1,030.58	Professional		$394.13	$682.51	$1,030.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.58 / $819.20 / $940.28	Professional		$686.58	$819.20	$940.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.66 / $613.26 / $877.20	Facility		$390.66	$613.26	$877.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $535.63 / $615.41 / $1,002.62	Professional		$535.63	$615.41	$1,002.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $442.04 / $655.85 / $762.46	Facility		$442.04	$655.85	$762.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.84 / $626.59 / $977.43	Facility		$423.84	$626.59	$977.43
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $699.58 / $699.58 / $699.58	Facility	54	$699.58	$699.58	$699.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $590.24 / $721.96 / $993.71	Professional		$590.24	$721.96	$993.71
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 $632.25 / $831.75 / $1,095.64	Professional		$632.25	$831.75	$1,095.64
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 $503.44 / $729.88 / $1,108.58	Professional		$503.44	$729.88	$1,108.58