Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.00 / $2,747.00 / $7,920.26	Facility		$615.00	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $440.72 / $495.22 / $584.46	Facility	54	$440.72	$495.22	$584.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $314.26 / $787.39	Professional		$252.78	$314.26	$787.39
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 $336.11 / $585.20 / $856.03	Professional		$336.11	$585.20	$856.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.73 / $697.11 / $797.44	Professional		$588.73	$697.11	$797.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $358.29 / $525.59 / $748.00	Facility		$358.29	$525.59	$748.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $465.16 / $532.44 / $838.43	Professional		$465.16	$532.44	$838.43
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $372.95 / $571.00 / $638.51	Facility		$372.95	$571.00	$638.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $351.38 / $548.08 / $837.67	Facility		$351.38	$548.08	$837.67
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $594.86 / $594.86 / $594.86	Facility	54	$594.86	$594.86	$594.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $516.24 / $624.97 / $844.98	Professional		$516.24	$624.97	$844.98
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 $552.91 / $718.27 / $954.59	Professional		$552.91	$718.27	$954.59
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 $408.90 / $591.60 / $938.21	Professional		$408.90	$591.60	$938.21