Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.19 / $7,920.26 / $25,931.97	Facility		$1,009.19	$7,920.26	$25,931.97
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,535.00 / $7,925.14 / $14,185.00	Facility	50	$4,535.00	$7,925.14	$14,185.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $908.15 / $1,122.80 / $1,360.83	Professional		$908.15	$1,122.80	$1,360.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $666.13 / $846.37 / $1,684.91	Facility		$666.13	$846.37	$1,684.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $847.88 / $1,106.29 / $6,319.51	Facility		$847.88	$1,106.29	$6,319.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.36 / $1,229.08 / $6,437.00	Facility		$726.36	$1,229.08	$6,437.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $16,860.72 / $22,602.85 / $26,781.36	Facility		$16,860.72	$22,602.85	$26,781.36
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $25,291.08 / $33,904.28 / $40,172.04	Facility	50	$25,291.08	$33,904.28	$40,172.04
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00