Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $604.55 / $1,318.04 / $7,920.26	Facility		$604.55	$1,318.04	$7,920.26
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $381.66 / $1,030.28 / $2,103.13	Facility	54	$381.66	$1,030.28	$2,103.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $521.53 / $727.32 / $2,366.00	Professional		$521.53	$727.32	$2,366.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $842.00 / $842.00 / $842.00	Facility		$842.00	$842.00	$842.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.19 / $1,054.52 / $1,509.31	Professional		$645.19	$1,054.52	$1,509.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.84 / $1,220.86 / $1,399.42	Professional		$1,021.84	$1,220.86	$1,399.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.54 / $1,011.22 / $1,331.10	Facility		$563.54	$1,011.22	$1,331.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $850.21 / $957.90 / $1,475.09	Professional		$850.21	$957.90	$1,475.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $750.01 / $1,028.01 / $1,123.58	Facility		$750.01	$1,028.01	$1,123.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.53 / $1,011.22 / $1,506.88	Facility		$670.53	$1,011.22	$1,506.88
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,042.61 / $1,042.61 / $1,042.61	Facility	54	$1,042.61	$1,042.61	$1,042.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $947.70 / $1,100.65 / $1,495.33	Professional		$947.70	$1,100.65	$1,495.33
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
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $961.30 / $1,263.26 / $1,659.52	Professional		$961.30	$1,263.26	$1,659.52
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
United Facility/Professional Professional Modifier Low / Median / High Price $763.42 / $1,075.03 / $1,680.16	Professional		$763.42	$1,075.03	$1,680.16