Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,230.27 / $6,025.60	Facility		$741.31	$1,230.27	$6,025.60
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	54	$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,513.56	Professional		$954.99	$1,230.27	$1,513.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $794.33 / $1,288.25	Facility		$512.86	$794.33	$1,288.25
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility	54	$1,905.46	$1,905.46	$1,905.46
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $977.24 / $1,071.52	Facility		$724.44	$977.24	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $776.25 / $1,174.90	Facility		$512.86	$776.25	$1,174.90
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $6,025.60	Facility		$3,801.89	$5,011.87	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $4,365.16 / $6,918.31	Facility		$389.05	$4,365.16	$6,918.31