Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,505.22 / $3,925.18 / $15,341.00	Facility		$1,505.22	$3,925.18	$15,341.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,128.92 / $1,385.38 / $3,099.30	Facility	54	$1,128.92	$1,385.38	$3,099.30
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 $1,386.71 / $1,626.52 / $1,948.68	Professional		$1,386.71	$1,626.52	$1,948.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.40 / $1,354.70 / $1,841.10	Facility		$1,005.40	$1,354.70	$1,841.10
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,055.24 / $1,435.11 / $1,520.90	Facility		$1,055.24	$1,435.11	$1,520.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,011.12 / $1,512.69 / $2,919.00	Facility		$1,011.12	$1,512.69	$2,919.00
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,444.11 / $1,444.11 / $1,444.11	Facility	54	$1,444.11	$1,444.11	$1,444.11
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 $1,106.00 / $2,385.00 / $7,480.00	Facility		$1,106.00	$2,385.00	$7,480.00