Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.74 / $7,920.26 / $18,012.21	Facility		$1,866.74	$7,920.26	$18,012.21
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,411.84 / $18,057.00 / $32,340.16	Facility	50	$15,411.84	$18,057.00	$32,340.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,753.66 / $2,526.79 / $2,845.32	Professional		$1,753.66	$2,526.79	$2,845.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,517.68 / $2,323.73 / $3,263.01	Facility		$1,517.68	$2,323.73	$3,263.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,537.32 / $2,071.29 / $2,199.61	Facility		$1,537.32	$2,071.29	$2,199.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,517.68 / $2,642.72 / $6,246.00	Facility		$1,517.68	$2,642.72	$6,246.00
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $353.07 / $353.07 / $353.07	Facility	AS	$353.07	$353.07	$353.07
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 $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00