Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.17 / $2,747.00 / $7,920.26	Facility		$426.17	$2,747.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $287.82 / $323.80 / $407.69	Facility	54	$287.82	$323.80	$407.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.39 / $244.15 / $543.58	Professional		$176.39	$244.15	$543.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.00 / $78.00 / $78.00	Facility		$78.00	$78.00	$78.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.02 / $404.24 / $595.25	Professional		$238.02	$404.24	$595.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.78 / $467.86 / $540.35	Professional		$391.78	$467.86	$540.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.39 / $362.70 / $530.37	Facility		$239.39	$362.70	$530.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $317.83 / $361.34 / $558.95	Professional		$317.83	$361.34	$558.95
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $268.80 / $400.40 / $439.52	Facility		$268.80	$400.40	$439.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.39 / $362.25 / $550.04	Facility		$239.39	$362.25	$550.04
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $405.35 / $405.35 / $405.35	Facility	54	$405.35	$405.35	$405.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $350.74 / $416.65 / $572.46	Professional		$350.74	$416.65	$572.46
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 $356.72 / $474.60 / $618.16	Professional		$356.72	$474.60	$618.16
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 $286.06 / $418.82 / $654.58	Professional		$286.06	$418.82	$654.58