Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,738.53 / $7,920.26 / $21,735.00	Facility		$1,738.53	$7,920.26	$21,735.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,180.19 / $1,303.90 / $1,460.35	Facility	54	$1,180.19	$1,303.90	$1,460.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $1,348.00 / $1,348.00	Facility		$1,348.00	$1,348.00	$1,348.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $792.08 / $1,649.46 / $1,832.73	Professional		$792.08	$1,649.46	$1,832.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $801.46 / $1,250.28 / $2,183.48	Facility		$801.46	$1,250.28	$2,183.48
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,088.67 / $1,499.46 / $1,567.80	Facility		$1,088.67	$1,499.46	$1,567.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $958.11 / $1,830.04 / $10,990.00	Facility		$958.11	$1,830.04	$10,990.00
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $610.67 / $1,464.03 / $1,464.03	Facility	54	$610.67	$1,464.03	$1,464.03
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