Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $593.03 / $988.00 / $7,920.26	Facility		$593.03	$988.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $464.06 / $522.72 / $645.12	Facility	54	$464.06	$522.72	$645.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.68 / $352.72 / $860.17	Professional		$276.68	$352.72	$860.17
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 $367.04 / $636.15 / $946.01	Professional		$367.04	$636.15	$946.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $633.24 / $755.96 / $867.23	Professional		$633.24	$755.96	$867.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $359.63 / $570.24 / $819.40	Facility		$359.63	$570.24	$819.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.70 / $573.40 / $907.34	Professional		$501.70	$573.40	$907.34
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $410.40 / $622.91 / $698.81	Facility		$410.40	$622.91	$698.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.67 / $578.57 / $919.12	Facility		$402.67	$578.57	$919.12
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $642.40 / $642.40 / $642.40	Facility	54	$642.40	$642.40	$642.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $554.88 / $663.00 / $915.56	Professional		$554.88	$663.00	$915.56
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 $578.74 / $761.36 / $1,002.92	Professional		$578.74	$761.36	$1,002.92
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 $468.44 / $678.77 / $1,085.18	Professional		$468.44	$678.77	$1,085.18