Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $423.76 / $7,920.26	Facility		$284.39	$423.76	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $213.30 / $277.01 / $317.82	Facility	54	$213.30	$277.01	$317.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.94 / $183.02 / $415.70	Professional		$131.94	$183.02	$415.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.76 / $306.69 / $462.54	Professional		$177.76	$306.69	$462.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $362.21 / $419.79	Professional		$293.55	$362.21	$419.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.28 / $278.49 / $394.25	Facility		$203.28	$278.49	$394.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.64 / $276.66 / $441.21	Professional		$236.64	$276.66	$441.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $305.89 / $341.70	Facility		$193.40	$305.89	$341.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.12 / $274.43 / $426.48	Facility		$193.12	$274.43	$426.48
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $311.57 / $311.57 / $311.57	Facility	54	$311.57	$311.57	$311.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $261.12 / $321.81 / $437.60	Professional		$261.12	$321.81	$437.60
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 $266.92 / $365.12 / $470.91	Professional		$266.92	$365.12	$470.91
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 $224.16 / $326.89 / $514.89	Professional		$224.16	$326.89	$514.89