Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,122.02 / $7,943.28	Facility		$575.44	$1,122.02	$7,943.28
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	54	$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,202.26	Professional		$812.83	$1,047.13	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $1,000.00	Facility		$407.38	$645.65	$1,000.00
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility	54	$1,318.26	$1,318.26	$1,318.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $758.58 / $870.96	Facility		$575.44	$758.58	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $977.24	Facility		$416.87	$645.65	$977.24
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,202.26 / $6,165.95	Facility		$389.05	$1,202.26	$6,165.95