Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $517.42 / $831.25 / $7,920.26	Facility		$517.42	$831.25	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $403.15 / $457.55 / $567.69	Facility	54	$403.15	$457.55	$567.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $306.42 / $740.39	Professional		$236.65	$306.42	$740.39
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 $320.11 / $550.71 / $826.48	Professional		$320.11	$550.71	$826.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $552.64 / $658.94 / $756.84	Professional		$552.64	$658.94	$756.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.86 / $496.62 / $713.15	Facility		$316.86	$496.62	$713.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $433.84 / $496.35 / $791.86	Professional		$433.84	$496.35	$791.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.00 / $541.20 / $604.72	Facility		$356.00	$541.20	$604.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $339.24 / $509.04 / $796.94	Facility		$339.24	$509.04	$796.94
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $566.60 / $566.60 / $566.60	Facility	54	$566.60	$566.60	$566.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.77 / $584.69 / $804.83	Professional		$478.77	$584.69	$804.83
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 $508.01 / $668.58 / $880.35	Professional		$508.01	$668.58	$880.35
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 $400.74 / $585.20 / $960.70	Professional		$400.74	$585.20	$960.70