Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $831.25 / $6,629.40	Facility		$504.83	$831.25	$6,629.40
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $527.76 / $598.55 / $740.39	Facility	54	$527.76	$598.55	$740.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.75 / $479.08 / $1,054.38	Professional		$321.75	$479.08	$1,054.38
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 $417.84 / $722.37 / $1,080.73	Professional		$417.84	$722.37	$1,080.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $718.61 / $858.36 / $984.14	Professional		$718.61	$858.36	$984.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $411.66 / $647.28 / $931.60	Facility		$411.66	$647.28	$931.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $569.55 / $646.34 / $1,032.19	Professional		$569.55	$646.34	$1,032.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $459.49 / $709.37 / $804.00	Facility		$459.49	$709.37	$804.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $444.44 / $662.53 / $1,041.30	Facility		$444.44	$662.53	$1,041.30
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $738.76 / $738.76 / $738.76	Facility	54	$738.76	$738.76	$738.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $627.84 / $764.05 / $1,050.20	Professional		$627.84	$764.05	$1,050.20
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 $664.85 / $874.64 / $1,152.13	Professional		$664.85	$874.64	$1,152.13
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 $534.10 / $752.11 / $1,175.47	Professional		$534.10	$752.11	$1,175.47