Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,943.28 / $16,595.87	Facility		$1,584.89	$7,943.28	$16,595.87
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,309.57 / $9,549.93 / $17,782.79	Facility	50	$6,309.57	$9,549.93	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,041.74	Professional		$1,174.90	$1,513.56	$2,041.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,479.11 / $11,748.98	Facility		$977.24	$1,479.11	$11,748.98
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,309.57 / $9,549.93 / $17,782.79	Facility	50	$6,309.57	$9,549.93	$17,782.79
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $1,584.89	Facility		$1,174.90	$1,479.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,862.09	Facility		$812.83	$1,096.48	$1,862.09
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $20,417.38 / $24,547.09	Facility		$14,791.08	$20,417.38	$24,547.09
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,387.21 / $30,902.95 / $37,153.52	Facility	50	$22,387.21	$30,902.95	$37,153.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $28,840.32	Facility		$2,137.96	$13,182.57	$28,840.32