Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.36 / $2,747.00 / $7,920.26	Facility		$497.36	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $344.30 / $390.32 / $477.53	Facility	54	$344.30	$390.32	$477.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.51 / $290.32 / $631.40	Professional		$209.51	$290.32	$631.40
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 $275.45 / $475.83 / $700.94	Professional		$275.45	$475.83	$700.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $470.91 / $561.45 / $644.91	Professional		$470.91	$561.45	$644.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.31 / $428.80 / $615.40	Facility		$265.31	$428.80	$615.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $378.16 / $427.39 / $671.67	Professional		$378.16	$427.39	$671.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $311.52 / $460.85 / $515.90	Facility		$311.52	$460.85	$515.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.66 / $435.24 / $683.09	Facility		$302.66	$435.24	$683.09
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $474.74 / $474.74 / $474.74	Facility	54	$474.74	$474.74	$474.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $415.53 / $493.20 / $676.37	Professional		$415.53	$493.20	$676.37
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 $431.14 / $567.17 / $747.13	Professional		$431.14	$567.17	$747.13
United Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,078.00 / $6,216.00	Facility		$376.00	$1,078.00	$6,216.00
United Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $482.13 / $764.60	Professional		$354.51	$482.13	$764.60