Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,070.76 / $3,490.49 / $7,920.26	Facility		$1,070.76	$3,490.49	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $718.57 / $1,473.31 / $2,137.90	Facility	54	$718.57	$1,473.31	$2,137.90
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 $914.38 / $1,074.55 / $1,289.15	Professional		$914.38	$1,074.55	$1,289.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $619.98 / $871.97 / $1,188.55	Facility		$619.98	$871.97	$1,188.55
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $601.20 / $899.14 / $987.58	Facility		$601.20	$899.14	$987.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.47 / $947.82 / $2,919.00	Facility		$622.47	$947.82	$2,919.00
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $920.56 / $920.56 / $920.56	Facility	54	$920.56	$920.56	$920.56
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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00