Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.30 / $787.29 / $7,920.26	Facility		$614.30	$787.29	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $460.74 / $523.60 / $638.17	Facility	54	$460.74	$523.60	$638.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.04 / $350.11 / $838.23	Professional		$269.04	$350.11	$838.23
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 $351.10 / $622.73 / $935.96	Professional		$351.10	$622.73	$935.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.41 / $750.67 / $860.64	Professional		$628.41	$750.67	$860.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $397.37 / $559.55 / $783.70	Facility		$397.37	$559.55	$783.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $491.47 / $564.19 / $902.71	Professional		$491.47	$564.19	$902.71
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $396.72 / $590.94 / $692.78	Facility		$396.72	$590.94	$692.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.24 / $542.88 / $876.98	Facility		$396.24	$542.88	$876.98
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $639.17 / $639.17 / $639.17	Facility	54	$639.17	$639.17	$639.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $539.00 / $661.75 / $909.58	Professional		$539.00	$661.75	$909.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $564.70 / $724.26 / $933.97	Facility		$564.70	$724.26	$933.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $580.48 / $765.41 / $1,004.94	Professional		$580.48	$765.41	$1,004.94
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 $439.45 / $635.79 / $1,008.31	Professional		$439.45	$635.79	$1,008.31