Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.21 / $1,486.00 / $7,920.26	Facility		$627.21	$1,486.00	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $599.22 / $675.50 / $834.77	Facility	54	$599.22	$675.50	$834.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $736.00 / $736.00 / $736.00	Facility		$736.00	$736.00	$736.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.48 / $969.87 / $1,107.23	Professional		$808.48	$969.87	$1,107.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $462.12 / $742.92 / $1,036.15	Facility		$462.12	$742.92	$1,036.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.21 / $807.35 / $909.19	Facility		$587.21	$807.35	$909.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.39 / $742.92 / $1,157.93	Facility		$521.39	$742.92	$1,157.93
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $837.69 / $837.69 / $837.69	Facility	54	$837.69	$837.69	$837.69
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,820.30 / $4,901.89 / $6,016.60	Facility		$3,820.30	$4,901.89	$6,016.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00