Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $7,943.28	Facility		$1,348.96	$1,778.28	$7,943.28
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $3,388.44 / $70,794.58	Facility	50	$2,818.38	$3,388.44	$70,794.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,949.84	Professional		$1,122.02	$1,479.11	$1,949.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,348.96 / $2,630.27	Facility		$602.56	$1,348.96	$2,630.27
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,818.38 / $3,388.44 / $70,794.58	Facility	50	$2,818.38	$3,388.44	$70,794.58
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,949.84	Facility		$1,202.26	$1,479.11	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,047.13 / $1,949.84	Facility		$562.34	$1,047.13	$1,949.84
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 $2,884.03 / $17,782.79 / $35,481.34	Facility		$2,884.03	$17,782.79	$35,481.34