Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,096.48 / $6,606.93	Facility		$776.25	$1,096.48	$6,606.93
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $2,454.71	Facility	54	$1,288.25	$1,288.25	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $1,000.00	Professional		$363.08	$457.09	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,148.15	Professional		$426.58	$758.58	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,202.26	Professional		$794.33	$1,000.00	$1,202.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $630.96 / $1,000.00	Facility		$407.38	$630.96	$1,000.00
Moda Health Facility/Professional Facility Modifier 54 Low / Median / High Price $1,288.25 / $1,288.25 / $2,454.71	Facility	54	$1,288.25	$1,288.25	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $758.58 / $1,148.15	Professional		$616.60	$758.58	$1,148.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $794.33 / $891.25	Facility		$588.84	$794.33	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $630.96 / $954.99	Facility		$398.11	$630.96	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $794.33 / $1,122.02	Professional		$79.43	$794.33	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $741.31 / $891.25	Facility		$562.34	$741.31	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,202.26	Professional		$676.08	$851.14	$1,202.26
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
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,122.02	Professional		$524.81	$758.58	$1,122.02