Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,220.51 / $7,920.26 / $18,322.00	Facility		$1,220.51	$7,920.26	$18,322.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,060.00 / $20,796.00 / $21,835.50	Facility	50	$7,060.00	$20,796.00	$21,835.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $994.77 / $1,434.99 / $1,623.16	Professional		$994.77	$1,434.99	$1,623.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $856.88 / $1,318.05 / $1,842.29	Facility		$856.88	$1,318.05	$1,842.29
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $893.90 / $1,205.75 / $1,252.23	Facility		$893.90	$1,205.75	$1,252.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $856.88 / $1,542.97 / $9,999.15	Facility		$856.88	$1,542.97	$9,999.15
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $22,930.89 / $30,090.09 / $37,333.90	Facility		$22,930.89	$30,090.09	$37,333.90
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $34,396.33 / $45,135.14 / $56,000.85	Facility	50	$34,396.33	$45,135.14	$56,000.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $18,628.00 / $26,255.00	Facility		$3,028.00	$18,628.00	$26,255.00