Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.80 / $667.31 / $7,920.26	Facility		$466.80	$667.31	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $387.15 / $440.28 / $553.82	Facility	54	$387.15	$440.28	$553.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.29 / $304.98 / $711.78	Professional		$221.29	$304.98	$711.78
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 $296.22 / $521.26 / $806.57	Professional		$296.22	$521.26	$806.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $534.75 / $637.60 / $737.86	Professional		$534.75	$637.60	$737.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $298.70 / $479.45 / $669.80	Facility		$298.70	$479.45	$669.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $410.06 / $483.21 / $765.76	Professional		$410.06	$483.21	$765.76
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $342.72 / $507.63 / $600.32	Facility		$342.72	$507.63	$600.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.70 / $453.77 / $746.03	Facility		$298.70	$453.77	$746.03
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $550.54 / $550.54 / $550.54	Facility	54	$550.54	$550.54	$550.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $449.50 / $566.64 / $775.04	Professional		$449.50	$566.64	$775.04
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 $488.34 / $650.07 / $846.25	Professional		$488.34	$650.07	$846.25
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 $375.07 / $558.61 / $909.61	Professional		$375.07	$558.61	$909.61