Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.87 / $782.11 / $7,920.26	Facility		$458.87	$782.11	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $461.48 / $520.13 / $607.92	Facility	54	$461.48	$520.13	$607.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.11 / $393.67 / $841.38	Professional		$272.11	$393.67	$841.38
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 $354.78 / $611.03 / $898.20	Professional		$354.78	$611.03	$898.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $617.02 / $729.07 / $845.97	Professional		$617.02	$729.07	$845.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.21 / $551.51 / $768.40	Facility		$340.21	$551.51	$768.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.40 / $558.72 / $841.91	Professional		$479.40	$558.72	$841.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $385.20 / $584.26 / $659.95	Facility		$385.20	$584.26	$659.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.29 / $551.51 / $858.96	Facility		$403.29	$551.51	$858.96
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $613.50 / $613.50 / $613.50	Facility	54	$613.50	$613.50	$613.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $536.82 / $649.40 / $881.07	Professional		$536.82	$649.40	$881.07
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 $576.90 / $749.48 / $997.60	Professional		$576.90	$749.48	$997.60
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 $429.52 / $622.99 / $982.43	Professional		$429.52	$622.99	$982.43