Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,487.27 / $4,962.67 / $15,341.00	Facility		$1,487.27	$4,962.67	$15,341.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,129.11 / $1,249.81 / $1,393.35	Facility	54	$1,129.11	$1,249.81	$1,393.35
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 $1,399.18 / $1,642.91 / $1,966.20	Professional		$1,399.18	$1,642.91	$1,966.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,004.06 / $1,415.88 / $1,856.40	Facility		$1,004.06	$1,415.88	$1,856.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,058.15 / $1,444.28 / $1,530.95	Facility		$1,058.15	$1,444.28	$1,530.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,004.06 / $1,460.88 / $2,272.36	Facility		$1,004.06	$1,460.88	$2,272.36
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,451.82 / $1,451.82 / $1,451.82	Facility	54	$1,451.82	$1,451.82	$1,451.82
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 $1,689.00 / $5,130.00 / $7,385.00	Facility		$1,689.00	$5,130.00	$7,385.00