Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.83 / $831.25 / $7,920.26	Facility		$504.83	$831.25	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $434.33 / $493.85 / $596.76	Facility	54	$434.33	$493.85	$596.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.13 / $419.09 / $798.87	Professional		$315.13	$419.09	$798.87
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 $376.18 / $619.29 / $880.23	Professional		$376.18	$619.29	$880.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.25 / $708.18 / $813.37	Professional		$598.25	$708.18	$813.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $391.31 / $587.14 / $803.10	Facility		$391.31	$587.14	$803.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $466.14 / $551.91 / $846.07	Professional		$466.14	$551.91	$846.07
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $387.93 / $575.53 / $646.54	Facility		$387.93	$575.53	$646.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $392.13 / $594.74 / $828.41	Facility		$392.13	$594.74	$828.41
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $596.14 / $596.14 / $596.14	Facility	54	$596.14	$596.14	$596.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $523.38 / $629.71 / $846.80	Professional		$523.38	$629.71	$846.80
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 $547.38 / $720.10 / $948.56	Professional		$547.38	$720.10	$948.56
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 $442.56 / $617.70 / $982.13	Professional		$442.56	$617.70	$982.13