Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $664.82 / $2,747.00 / $7,920.26	Facility		$664.82	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $442.70 / $499.89 / $641.41	Facility	54	$442.70	$499.89	$641.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.97 / $382.87 / $855.22	Professional		$262.97	$382.87	$855.22
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 $352.67 / $609.28 / $933.57	Professional		$352.67	$609.28	$933.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $603.42 / $733.80 / $850.55	Professional		$603.42	$733.80	$850.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $356.56 / $557.28 / $785.83	Facility		$356.56	$557.28	$785.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $477.34 / $558.80 / $874.50	Professional		$477.34	$558.80	$874.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $376.27 / $586.95 / $680.76	Facility		$376.27	$586.95	$680.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $379.37 / $558.62 / $875.62	Facility		$379.37	$558.62	$875.62
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $639.83 / $639.83 / $639.83	Facility	54	$639.83	$639.83	$639.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $526.32 / $656.50 / $897.22	Professional		$526.32	$656.50	$897.22
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 $554.75 / $752.25 / $962.66	Professional		$554.75	$752.25	$962.66
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 $452.63 / $632.10 / $1,052.56	Professional		$452.63	$632.10	$1,052.56