Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.95 / $706.15 / $6,072.60	Facility		$475.95	$706.15	$6,072.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $458.44 / $584.09 / $1,007.25	Facility	54	$458.44	$584.09	$1,007.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.32 / $411.51 / $1,130.73	Professional		$276.32	$411.51	$1,130.73
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 $368.65 / $628.58 / $957.97	Professional		$368.65	$628.58	$957.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $621.91 / $756.68 / $874.40	Professional		$621.91	$756.68	$874.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $379.49 / $587.76 / $822.80	Facility		$379.49	$587.76	$822.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $500.54 / $576.96 / $907.21	Professional		$500.54	$576.96	$907.21
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $401.27 / $620.59 / $717.57	Facility		$401.27	$620.59	$717.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.49 / $577.22 / $904.44	Facility		$379.49	$577.22	$904.44
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $661.67 / $661.67 / $661.67	Facility	54	$661.67	$661.67	$661.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $681.35 / $932.03	Professional		$554.40	$681.35	$932.03
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 $576.28 / $780.38 / $998.67	Professional		$576.28	$780.38	$998.67
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.01 / $699.33 / $1,051.43	Professional		$485.01	$699.33	$1,051.43