Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $7,943.28 / $25,703.96	Facility		$1,000.00	$7,943.28	$25,703.96
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $8,511.38 / $14,125.38	Facility	50	$5,623.41	$8,511.38	$14,125.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,047.13 / $1,230.27	Professional		$537.03	$1,047.13	$1,230.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $954.99 / $9,332.54	Facility		$575.44	$954.99	$9,332.54
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $8,511.38 / $14,125.38	Facility	50	$5,623.41	$8,511.38	$14,125.38
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,230.27	Facility		$870.96	$1,096.48	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $1,445.44	Facility		$575.44	$831.76	$1,445.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $22,387.21 / $27,542.29	Facility		$16,982.44	$22,387.21	$27,542.29
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,118.86 / $33,884.42 / $40,738.03	Facility	50	$25,118.86	$33,884.42	$40,738.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $17,782.79 / $31,622.78	Facility		$2,884.03	$17,782.79	$31,622.78