Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.52 / $688.17 / $7,920.26	Facility		$370.52	$688.17	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $366.20 / $415.61 / $516.13	Facility	54	$366.20	$415.61	$516.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.50 / $312.68 / $674.46	Professional		$214.50	$312.68	$674.46
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 $284.88 / $499.87 / $753.40	Professional		$284.88	$499.87	$753.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.22 / $604.13 / $696.02	Professional		$508.22	$604.13	$696.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.29 / $451.13 / $644.29	Facility		$302.29	$451.13	$644.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $391.50 / $451.52 / $702.36	Professional		$391.50	$451.52	$702.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $326.25 / $488.63 / $558.78	Facility		$326.25	$488.63	$558.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.29 / $434.88 / $700.21	Facility		$302.29	$434.88	$700.21
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 $427.59 / $528.36 / $726.18	Professional		$427.59	$528.36	$726.18
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 $460.66 / $606.02 / $798.28	Professional		$460.66	$606.02	$798.28
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 $364.24 / $516.59 / $860.07	Professional		$364.24	$516.59	$860.07