Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.84 / $2,747.00 / $7,920.26	Facility		$474.84	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $352.01 / $404.53 / $462.00	Facility	54	$352.01	$404.53	$462.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $253.06 / $657.39	Professional		$200.78	$253.06	$657.39
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 $250.66 / $459.27 / $670.96	Professional		$250.66	$459.27	$670.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.27 / $553.07 / $658.88	Professional		$471.27	$553.07	$658.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.05 / $407.98 / $559.29	Facility		$260.05	$407.98	$559.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.37 / $417.28 / $654.16	Professional		$350.37	$417.28	$654.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $298.75 / $424.78 / $501.83	Facility		$298.75	$424.78	$501.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.85 / $409.55 / $634.14	Facility		$294.85	$409.55	$634.14
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $461.89 / $461.89 / $461.89	Facility	54	$461.89	$461.89	$461.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $390.60 / $484.04 / $670.96	Professional		$390.60	$484.04	$670.96
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 $422.50 / $580.41 / $778.03	Professional		$422.50	$580.41	$778.03
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 $324.87 / $453.56 / $778.92	Professional		$324.87	$453.56	$778.92