Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.69 / $605.12 / $7,920.26	Facility		$456.69	$605.12	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $430.24 / $490.81 / $585.84	Facility	54	$430.24	$490.81	$585.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $349.56 / $879.84	Professional		$245.16	$349.56	$879.84
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $183.88 / $288.56 / $763.11	Professional	54	$183.88	$288.56	$763.11
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 $316.29 / $579.66 / $866.24	Professional		$316.29	$579.66	$866.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $596.52 / $707.87 / $810.48	Professional		$596.52	$707.87	$810.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $301.49 / $511.28 / $721.65	Facility		$301.49	$511.28	$721.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $429.66 / $525.44 / $837.54	Professional		$429.66	$525.44	$837.54
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $356.68 / $556.10 / $634.49	Facility		$356.68	$556.10	$634.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $301.49 / $494.62 / $797.17	Facility		$301.49	$494.62	$797.17
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $582.02 / $582.02 / $582.02	Facility	54	$582.02	$582.02	$582.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.64 / $609.29 / $828.31	Professional		$489.64	$609.29	$828.31
Providence Facility/Professional Professional Modifier 54 Low / Median / High Price $438.36 / $478.82 / $688.56	Professional	54	$438.36	$478.82	$688.56
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 $540.79 / $710.87 / $942.17	Professional		$540.79	$710.87	$942.17
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 $408.00 / $595.00 / $988.36	Professional		$408.00	$595.00	$988.36