Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $6,606.93	Facility		$489.78	$891.25	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $457.09 / $831.76	Professional		$269.15	$457.09	$831.76
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional	50	$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $295.12 / $446.68 / $1,096.48	Professional	54	$295.12	$446.68	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $616.60 / $954.99	Professional		$331.13	$616.60	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $954.99	Professional		$645.65	$812.83	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $489.78 / $794.33	Facility		$331.13	$489.78	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $912.01	Professional		$416.87	$588.84	$912.01
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $1,047.13 / $1,047.13 / $1,380.38	Professional	50	$1,047.13	$1,047.13	$1,380.38
Moda Health Facility/Professional Professional Modifier 54 Low / Median / High Price $295.12 / $446.68 / $1,047.13	Professional	54	$295.12	$446.68	$1,047.13
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $630.96 / $707.95	Facility		$446.68	$630.96	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $478.63 / $741.31	Facility		$323.59	$478.63	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $645.65 / $912.01	Professional		$79.43	$645.65	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $954.99	Professional		$467.74	$691.83	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $912.01	Professional		$389.05	$602.56	$912.01