Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.28 / $4,684.68 / $8,728.00	Facility		$1,357.28	$4,684.68	$8,728.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,017.96 / $1,131.89 / $1,267.76	Facility	54	$1,017.96	$1,131.89	$1,267.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,271.55 / $1,489.40 / $1,786.85	Professional		$1,271.55	$1,489.40	$1,786.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $907.48 / $1,242.69 / $1,658.35	Facility		$907.48	$1,242.69	$1,658.35
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $949.14 / $1,309.84 / $1,390.92	Facility		$949.14	$1,309.84	$1,390.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $907.48 / $1,319.36 / $2,053.77	Facility		$907.48	$1,319.36	$2,053.77
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $1,298.94 / $1,298.94 / $1,298.94	Facility	54	$1,298.94	$1,298.94	$1,298.94
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 $376.00 / $3,290.00 / $6,216.00	Facility		$376.00	$3,290.00	$6,216.00