Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.27 / $7,920.26 / $15,978.56	Facility		$911.27	$7,920.26	$15,978.56
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $715.27 / $888.99 / $1,250.54	Facility	54	$715.27	$888.99	$1,250.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $627.99 / $1,784.54	Professional		$411.75	$627.99	$1,784.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.00 / $971.00 / $971.00	Facility		$971.00	$971.00	$971.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $551.33 / $939.76 / $1,679.59	Professional		$551.33	$939.76	$1,679.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.17 / $1,119.05 / $1,552.79	Professional		$681.17	$1,119.05	$1,552.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $516.00 / $949.55 / $1,552.90	Facility		$516.00	$949.55	$1,552.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $762.15 / $1,055.16 / $1,515.06	Professional		$762.15	$1,055.16	$1,515.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $752.54 / $1,206.51 / $1,340.00	Facility		$752.54	$1,206.51	$1,340.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.87 / $1,124.79 / $7,445.00	Facility		$607.87	$1,124.79	$7,445.00
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $553.49 / $1,270.02 / $1,270.02	Facility	54	$553.49	$1,270.02	$1,270.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $825.44 / $1,161.55 / $1,590.00	Professional		$825.44	$1,161.55	$1,590.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,454.55 / $6,944.43 / $8,747.84	Facility		$5,454.55	$6,944.43	$8,747.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $864.73 / $1,237.28 / $1,742.13	Professional		$864.73	$1,237.28	$1,742.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00
United Facility/Professional Professional Modifier Low / Median / High Price $828.90 / $1,223.95 / $1,928.20	Professional		$828.90	$1,223.95	$1,928.20