Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.51 / $2,747.00 / $7,920.26	Facility		$655.51	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $452.65 / $513.65 / $630.49	Facility	54	$452.65	$513.65	$630.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $346.12 / $825.94	Professional		$266.30	$346.12	$825.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $617.84 / $926.34	Professional		$355.56	$617.84	$926.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $619.32 / $738.68 / $848.17	Professional		$619.32	$738.68	$848.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.45 / $552.00 / $793.05	Facility		$340.45	$552.00	$793.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $488.94 / $554.87 / $887.79	Professional		$488.94	$554.87	$887.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.98 / $603.91 / $684.07	Facility		$385.98	$603.91	$684.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.03 / $564.64 / $888.58	Facility		$391.03	$564.64	$888.58
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $629.54 / $629.54 / $629.54	Facility	54	$629.54	$629.54	$629.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $534.60 / $650.05 / $895.46	Professional		$534.60	$650.05	$895.46
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 $570.13 / $750.04 / $988.00	Professional		$570.13	$750.04	$988.00
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 $445.23 / $647.50 / $997.52	Professional		$445.23	$647.50	$997.52