Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.65 / $988.00 / $7,920.26	Facility		$469.65	$988.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $435.46 / $489.99 / $606.04	Facility	54	$435.46	$489.99	$606.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $259.72 / $379.54 / $808.07	Professional		$259.72	$379.54	$808.07
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 $347.02 / $594.39 / $882.09	Professional		$347.02	$594.39	$882.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.04 / $701.13 / $803.96	Professional		$587.04	$701.13	$803.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $336.24 / $540.72 / $776.90	Facility		$336.24	$540.72	$776.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $472.70 / $538.20 / $841.22	Professional		$472.70	$538.20	$841.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $377.88 / $572.85 / $648.29	Facility		$377.88	$572.85	$648.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.10 / $543.12 / $870.06	Facility		$378.10	$543.12	$870.06
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $607.71 / $607.71 / $607.71	Facility	54	$607.71	$607.71	$607.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $521.26 / $625.00 / $863.23	Professional		$521.26	$625.00	$863.23
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 $543.07 / $714.44 / $940.95	Professional		$543.07	$714.44	$940.95
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 $450.50 / $645.12 / $1,025.58	Professional		$450.50	$645.12	$1,025.58