Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $685.16 / $7,920.26	Facility		$402.12	$685.16	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $370.29 / $420.58 / $513.87	Facility	54	$370.29	$420.58	$513.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $316.62 / $802.14	Professional		$215.47	$316.62	$802.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.55 / $500.41 / $760.78	Professional		$286.55	$500.41	$760.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.96 / $609.70 / $702.51	Professional		$512.96	$609.70	$702.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.95 / $453.50 / $641.75	Facility		$287.95	$453.50	$641.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $458.23 / $737.10	Professional		$396.14	$458.23	$737.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.86 / $486.67 / $556.77	Facility		$326.86	$486.67	$556.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $277.70 / $437.76 / $699.35	Facility		$277.70	$437.76	$699.35
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $509.42 / $509.42 / $509.42	Facility	54	$509.42	$509.42	$509.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $431.90 / $529.75 / $727.11	Professional		$431.90	$529.75	$727.11
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 $466.19 / $613.29 / $807.88	Professional		$466.19	$613.29	$807.88
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.29 / $529.45 / $867.08	Professional		$372.29	$529.45	$867.08