Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $911.55 / $7,920.26	Facility		$517.42	$911.55	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $471.17 / $535.02 / $683.66	Facility	54	$471.17	$535.02	$683.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.06 / $407.82 / $1,040.63	Professional		$276.06	$407.82	$1,040.63
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 $372.70 / $644.78 / $997.01	Professional		$372.70	$644.78	$997.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.98 / $781.96 / $908.18	Professional		$646.98	$781.96	$908.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.72 / $590.40 / $833.85	Facility		$380.72	$590.40	$833.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.02 / $595.09 / $932.18	Professional		$504.02	$595.09	$932.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $400.91 / $628.33 / $725.44	Facility		$400.91	$628.33	$725.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.14 / $597.05 / $929.32	Facility		$387.14	$597.05	$929.32
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $679.66 / $679.66 / $679.66	Facility	54	$679.66	$679.66	$679.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $558.96 / $698.54 / $956.69	Professional		$558.96	$698.54	$956.69
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 $593.50 / $801.85 / $1,028.50	Professional		$593.50	$801.85	$1,028.50
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 $482.29 / $674.56 / $1,141.49	Professional		$482.29	$674.56	$1,141.49