Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $622.99 / $2,747.00 / $7,920.26	Facility		$622.99	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $429.27 / $486.25 / $598.98	Facility	54	$429.27	$486.25	$598.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.72 / $370.15 / $795.98	Professional		$251.72	$370.15	$795.98
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 $336.26 / $585.00 / $877.17	Professional		$336.26	$585.00	$877.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $587.58 / $700.37 / $804.70	Professional		$587.58	$700.37	$804.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $334.38 / $524.75 / $753.10	Facility		$334.38	$524.75	$753.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $460.52 / $525.76 / $841.22	Professional		$460.52	$525.76	$841.22
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $381.38 / $567.89 / $638.08	Facility		$381.38	$567.89	$638.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $368.88 / $537.07 / $841.37	Facility		$368.88	$537.07	$841.37
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $599.36 / $599.36 / $599.36	Facility	54	$599.36	$599.36	$599.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $503.07 / $617.07 / $850.62	Professional		$503.07	$617.07	$850.62
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 $539.38 / $709.58 / $934.71	Professional		$539.38	$709.58	$934.71
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 $413.60 / $593.21 / $949.00	Professional		$413.60	$593.21	$949.00