Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.90 / $988.00 / $7,920.26	Facility		$750.90	$988.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $579.98 / $722.51 / $814.73	Facility	54	$579.98	$722.51	$814.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.82 / $549.51 / $1,154.85	Professional		$360.82	$549.51	$1,154.85
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 $460.59 / $791.98 / $1,184.54	Professional		$460.59	$791.98	$1,184.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.58 / $931.86 / $1,073.77	Professional		$774.58	$931.86	$1,073.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.14 / $729.33 / $1,029.34	Facility		$450.14	$729.33	$1,029.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $635.67 / $716.95 / $1,123.26	Professional		$635.67	$716.95	$1,123.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $499.78 / $760.99 / $886.41	Facility		$499.78	$760.99	$886.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $505.33 / $732.59 / $1,161.63	Facility		$505.33	$732.59	$1,161.63
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $820.34 / $820.34 / $820.34	Facility	54	$820.34	$820.34	$820.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $704.64 / $844.99 / $1,161.45	Professional		$704.64	$844.99	$1,161.45
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 $725.12 / $966.22 / $1,253.56	Professional		$725.12	$966.22	$1,253.56
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 $598.28 / $835.79 / $1,375.48	Professional		$598.28	$835.79	$1,375.48