Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.38 / $2,747.00 / $7,920.26	Facility		$617.38	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $429.17 / $485.77 / $592.01	Facility	54	$429.17	$485.77	$592.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.63 / $374.49 / $817.62	Professional		$251.63	$374.49	$817.62
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 $336.13 / $583.73 / $871.99	Professional		$336.13	$583.73	$871.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $586.12 / $700.27 / $802.70	Professional		$586.12	$700.27	$802.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $319.70 / $524.62 / $746.30	Facility		$319.70	$524.62	$746.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.42 / $526.34 / $842.14	Professional		$463.42	$526.34	$842.14
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $374.73 / $560.29 / $635.26	Facility		$374.73	$560.29	$635.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $319.70 / $511.58 / $810.05	Facility		$319.70	$511.58	$810.05
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $591.01 / $591.01 / $591.01	Facility	54	$591.01	$591.01	$591.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $506.25 / $613.60 / $843.37	Professional		$506.25	$613.60	$843.37
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 / $934.66	Professional		$539.38	$709.58	$934.66
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 $435.00 / $613.91 / $945.77	Professional		$435.00	$613.91	$945.77