Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $671.78 / $2,747.00 / $7,920.26	Facility		$671.78	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $475.11 / $539.62 / $645.76	Facility	54	$475.11	$539.62	$645.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.89 / $402.12 / $871.83	Professional		$273.89	$402.12	$871.83
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 $359.18 / $638.04 / $953.88	Professional		$359.18	$638.04	$953.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $654.41 / $775.44 / $886.42	Professional		$654.41	$775.44	$886.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $361.04 / $575.69 / $800.70	Facility		$361.04	$575.69	$800.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $499.20 / $580.32 / $924.89	Professional		$499.20	$580.32	$924.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $397.18 / $599.29 / $700.15	Facility		$397.18	$599.29	$700.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $361.04 / $552.24 / $881.27	Facility		$361.04	$552.24	$881.27
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $644.97 / $644.97 / $644.97	Facility	54	$644.97	$644.97	$644.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.62 / $675.19 / $920.94	Professional		$550.62	$675.19	$920.94
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 $598.40 / $783.91 / $1,037.02	Professional		$598.40	$783.91	$1,037.02
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 $455.68 / $652.05 / $1,063.97	Professional		$455.68	$652.05	$1,063.97