Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.45 / $860.39 / $7,920.26	Facility		$694.45	$860.39	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $461.50 / $521.59 / $650.61	Facility	54	$461.50	$521.59	$650.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $376.80 / $827.89	Professional		$272.77	$376.80	$827.89
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 $368.02 / $632.82 / $947.78	Professional		$368.02	$632.82	$947.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.46 / $750.25 / $865.07	Professional		$629.46	$750.25	$865.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $362.65 / $567.08 / $821.95	Facility		$362.65	$567.08	$821.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $495.90 / $567.34 / $887.43	Professional		$495.90	$567.34	$887.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $401.85 / $616.20 / $704.84	Facility		$401.85	$616.20	$704.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.03 / $581.55 / $918.20	Facility		$398.03	$581.55	$918.20
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $648.82 / $648.82 / $648.82	Facility	54	$648.82	$648.82	$648.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $549.52 / $667.57 / $918.70	Professional		$549.52	$667.57	$918.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $890.90	Facility		$564.70	$724.26	$890.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $578.13 / $763.35 / $1,001.85	Professional		$578.13	$763.35	$1,001.85
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 $468.93 / $669.91 / $1,032.04	Professional		$468.93	$669.91	$1,032.04