Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.80 / $670.34 / $7,920.26	Facility		$418.80	$670.34	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $389.17 / $442.85 / $564.26	Facility	54	$389.17	$442.85	$564.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $327.84 / $862.41	Professional		$220.91	$327.84	$862.41
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 $300.58 / $527.14 / $821.04	Professional		$300.58	$527.14	$821.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.29 / $647.95 / $752.08	Professional		$537.29	$647.95	$752.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $315.27 / $488.68 / $680.85	Facility		$315.27	$488.68	$680.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $414.12 / $484.38 / $771.22	Professional		$414.12	$484.38	$771.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $338.08 / $516.79 / $601.12	Facility		$338.08	$516.79	$601.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.27 / $462.77 / $754.36	Facility		$315.27	$462.77	$754.36
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $561.46 / $561.46 / $561.46	Facility	54	$561.46	$561.46	$561.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.74 / $577.91 / $789.75	Professional		$454.74	$577.91	$789.75
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 $491.41 / $661.26 / $851.57	Professional		$491.41	$661.26	$851.57
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 $398.12 / $554.20 / $878.90	Professional		$398.12	$554.20	$878.90