Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $831.76 / $6,606.93	Facility		$478.63	$831.76	$6,606.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,071.52 / $1,071.52 / $2,511.89	Facility	54	$1,071.52	$1,071.52	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,148.15	Professional		$758.58	$954.99	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $912.01	Facility		$363.08	$562.34	$912.01
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,071.52 / $1,071.52 / $2,511.89	Facility	54	$1,071.52	$1,071.52	$2,511.89
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $691.83 / $794.33	Facility		$501.19	$691.83	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $549.54 / $851.14	Facility		$354.81	$549.54	$851.14
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
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