Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $741.31 / $6,025.60	Facility		$457.09	$741.31	$6,025.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	54	$1,000.00	$1,000.00	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $1,174.90	Professional		$288.40	$407.38	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $602.56 / $933.25	Professional		$338.84	$602.56	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $954.99	Professional		$616.60	$776.25	$954.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $812.83	Facility		$323.59	$512.86	$812.83
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility	54	$1,000.00	$1,000.00	$1,000.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $602.56 / $912.01	Professional		$478.63	$602.56	$912.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $645.65 / $724.44	Facility		$467.74	$645.65	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $489.78 / $758.58	Facility		$323.59	$489.78	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $630.96 / $912.01	Professional		$79.43	$630.96	$912.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $954.99	Professional		$524.81	$691.83	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $912.01	Professional		$407.38	$602.56	$912.01