Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $7,943.28 / $15,848.93	Facility		$2,187.76	$7,943.28	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $20,417.38 / $39,810.72	Facility	50	$3,890.45	$20,417.38	$39,810.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,019.95	Professional		$1,737.80	$2,238.72	$3,019.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $13,803.84	Facility		$1,479.11	$2,344.23	$13,803.84
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $4,570.88 / $20,417.38 / $39,810.72	Facility	50	$4,570.88	$20,417.38	$39,810.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $2,884.03	Facility		$1,905.46	$2,290.87	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $3,162.28	Facility		$1,288.25	$2,041.74	$3,162.28
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $37,153.52 / $54,954.09 / $69,183.10	Facility		$37,153.52	$54,954.09	$69,183.10
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $56,234.13 / $81,283.05 / $104,712.85	Facility	50	$56,234.13	$81,283.05	$104,712.85
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $20,892.96 / $60,255.96	Facility		$3,019.95	$20,892.96	$60,255.96