Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.89 / $1,154.58 / $7,920.26	Facility		$672.89	$1,154.58	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $603.42 / $684.95 / $865.94	Facility	54	$603.42	$684.95	$865.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $820.42 / $988.06 / $1,141.02	Professional		$820.42	$988.06	$1,141.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.33 / $758.88 / $1,062.50	Facility		$478.33	$758.88	$1,062.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $565.21 / $812.46 / $942.02	Facility		$565.21	$812.46	$942.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.40 / $761.98 / $1,206.98	Facility		$525.40	$761.98	$1,206.98
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $864.02 / $864.02 / $864.02	Facility	54	$864.02	$864.02	$864.02
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 $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00