Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,528.65 / $8,878.56 / $20,400.00	Facility		$1,528.65	$8,878.56	$20,400.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,037.99 / $1,146.49 / $1,284.29	Facility	54	$1,037.99	$1,146.49	$1,284.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $853.00 / $853.00 / $853.00	Facility		$853.00	$853.00	$853.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $696.57 / $1,449.91 / $1,611.01	Professional		$696.57	$1,449.91	$1,611.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $719.77 / $1,100.55 / $1,967.83	Facility		$719.77	$1,100.55	$1,967.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $956.40 / $1,315.88 / $1,394.27	Facility		$956.40	$1,315.88	$1,394.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $845.86 / $1,610.82 / $7,339.00	Facility		$845.86	$1,610.82	$7,339.00
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $537.09 / $1,288.66 / $1,288.66	Facility	54	$537.09	$1,288.66	$1,288.66
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,698.81 / $7,379.02 / $8,723.76	Facility		$5,698.81	$7,379.02	$8,723.76
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