Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,345.00 / $1,673.32 / $7,920.26	Facility		$1,345.00	$1,673.32	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,824.50 / $3,353.68 / $71,189.58	Facility	50	$2,824.50	$3,353.68	$71,189.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.57 / $1,762.28 / $1,988.17	Professional		$1,221.57	$1,762.28	$1,988.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $718.43 / $1,653.21 / $2,635.01	Facility		$718.43	$1,653.21	$2,635.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,036.58 / $1,488.09 / $1,934.29	Facility		$1,036.58	$1,488.09	$1,934.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $765.78 / $1,953.89 / $3,274.00	Facility		$765.78	$1,953.89	$3,274.00
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