Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.90 / $11,652.00 / $23,856.49	Facility		$1,455.90	$11,652.00	$23,856.49
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,149.47 / $1,272.98 / $1,426.40	Facility	54	$1,149.47	$1,272.98	$1,426.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $1,119.00 / $1,119.00	Facility		$1,119.00	$1,119.00	$1,119.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $774.52 / $1,610.59 / $1,789.55	Professional		$774.52	$1,610.59	$1,789.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $774.52 / $1,200.51 / $2,115.00	Facility		$774.52	$1,200.51	$2,115.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,018.83 / $1,426.13 / $1,530.95	Facility		$1,018.83	$1,426.13	$1,530.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $908.36 / $1,788.28 / $9,060.00	Facility		$908.36	$1,788.28	$9,060.00
Providence Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $1,430.62 / $1,430.62	Facility	54	$596.32	$1,430.62	$1,430.62
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