Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,786.30 / $7,943.28	Facility		$1,096.48	$4,786.30	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility	50	$7,244.36	$7,244.36	$7,244.36
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 $371.54 / $758.58 / $1,659.59	Facility		$371.54	$758.58	$1,659.59
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility	50	$7,244.36	$7,244.36	$7,244.36
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $933.25 / $1,122.02	Facility		$645.65	$933.25	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $758.58 / $1,148.15	Facility		$389.05	$758.58	$1,148.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,912.51 / $10,715.19	Facility		$6,606.93	$8,912.51	$10,715.19
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $9,772.37 / $13,489.63 / $16,218.10	Facility	50	$9,772.37	$13,489.63	$16,218.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $9,549.93 / $12,882.50	Facility		$1,995.26	$9,549.93	$12,882.50