Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.91 / $648.52 / $7,920.26	Facility		$429.91	$648.52	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $427.56 / $486.39 / $597.90	Facility	54	$427.56	$486.39	$597.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $330.37 / $729.21	Professional		$248.53	$330.37	$729.21
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 $334.28 / $581.80 / $877.17	Professional		$334.28	$581.80	$877.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.33 / $700.86 / $805.72	Professional		$588.33	$700.86	$805.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.05 / $522.16 / $746.30	Facility		$334.05	$522.16	$746.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $456.25 / $525.76 / $841.22	Professional		$456.25	$525.76	$841.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $369.84 / $565.27 / $647.89	Facility		$369.84	$565.27	$647.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $334.05 / $508.32 / $815.20	Facility		$334.05	$508.32	$815.20
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $594.86 / $594.86 / $594.86	Facility	54	$594.86	$594.86	$594.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $501.60 / $615.13 / $845.50	Professional		$501.60	$615.13	$845.50
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 $539.38 / $709.58 / $934.71	Professional		$539.38	$709.58	$934.71
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 $421.68 / $600.60 / $984.20	Professional		$421.68	$600.60	$984.20