Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.97 / $1,486.00 / $7,920.26	Facility		$663.97	$1,486.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $447.71 / $508.23 / $638.87	Facility	54	$447.71	$508.23	$638.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.07 / $360.31 / $822.12	Professional		$266.07	$360.31	$822.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.31 / $614.42 / $930.11	Professional		$353.31	$614.42	$930.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $611.16 / $730.92 / $847.42	Professional		$611.16	$730.92	$847.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.03 / $557.09 / $787.95	Facility		$346.03	$557.09	$787.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $483.14 / $556.66 / $876.22	Professional		$483.14	$556.66	$876.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $392.16 / $594.10 / $692.78	Facility		$392.16	$594.10	$692.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.33 / $564.82 / $883.95	Facility		$388.33	$564.82	$883.95
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $641.11 / $641.11 / $641.11	Facility	54	$641.11	$641.11	$641.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $534.48 / $659.16 / $902.27	Professional		$534.48	$659.16	$902.27
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 $563.99 / $753.73 / $976.62	Professional		$563.99	$753.73	$976.62
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 $439.40 / $628.94 / $1,006.16	Professional		$439.40	$628.94	$1,006.16