Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.93 / $6,568.09 / $20,319.18	Facility		$1,610.93	$6,568.09	$20,319.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,995.00 / $6,027.00 / $17,361.90	Facility	50	$1,995.00	$6,027.00	$17,361.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,517.47 / $2,175.17 / $2,449.03	Professional		$1,517.47	$2,175.17	$2,449.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,309.70 / $1,993.66 / $2,815.86	Facility		$1,309.70	$1,993.66	$2,815.86
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,409.41 / $1,848.54 / $1,949.03	Facility		$1,409.41	$1,848.54	$1,949.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,309.70 / $2,387.08 / $6,365.00	Facility		$1,309.70	$2,387.08	$6,365.00
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $367.58 / $367.58 / $367.58	Facility	80	$367.58	$367.58	$367.58
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $312.44 / $312.44 / $312.44	Facility	AS	$312.44	$312.44	$312.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,761.83 / $19,243.91 / $24,411.82	Facility		$14,761.83	$19,243.91	$24,411.82
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,142.75 / $28,865.88 / $36,617.73	Facility	50	$22,142.75	$28,865.88	$36,617.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00