Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $398.11 / $6,606.93	Facility		$281.84	$398.11	$6,606.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	54	$2,691.53	$2,691.53	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $389.05	Professional		$134.90	$181.97	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $288.40 / $436.52	Professional		$162.18	$288.40	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $426.58	Professional		$275.42	$354.81	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $239.88 / $398.11	Facility		$154.88	$239.88	$398.11
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	54	$2,691.53	$2,691.53	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $416.87	Professional		$218.78	$288.40	$416.87
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $309.03 / $338.84	Facility		$218.78	$309.03	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $234.42 / $354.81	Facility		$147.91	$234.42	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $302.00 / $426.58	Professional		$79.43	$302.00	$426.58
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $446.68	Professional		$245.47	$331.13	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $426.58	Professional		$190.55	$288.40	$426.58