Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.66 / $895.10 / $7,920.26	Facility		$484.66	$895.10	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $485.82 / $549.48 / $671.33	Facility	54	$485.82	$549.48	$671.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.17 / $426.02 / $895.10	Professional		$288.17	$426.02	$895.10
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 $380.77 / $661.67 / $986.02	Professional		$380.77	$661.67	$986.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.64 / $788.93 / $904.76	Professional		$660.64	$788.93	$904.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $594.91 / $849.15	Facility		$375.00	$594.91	$849.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $525.48 / $593.34 / $958.93	Professional		$525.48	$593.34	$958.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $414.54 / $637.00 / $728.96	Facility		$414.54	$637.00	$728.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.30 / $602.59 / $950.59	Facility		$421.30	$602.59	$950.59
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $671.30 / $671.30 / $671.30	Facility	54	$671.30	$671.30	$671.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $578.00 / $695.97 / $956.91	Professional		$578.00	$695.97	$956.91
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 $610.11 / $802.63 / $1,057.27	Professional		$610.11	$802.63	$1,057.27
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 $485.59 / $683.79 / $1,126.71	Professional		$485.59	$683.79	$1,126.71