Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.58 / $5,116.62 / $13,746.00	Facility		$1,206.58	$5,116.62	$13,746.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,990.58 / $18,081.00 / $18,960.00	Facility	50	$6,990.58	$18,081.00	$18,960.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,084.00 / $1,563.15 / $1,765.72	Professional		$1,084.00	$1,563.15	$1,765.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $933.56 / $1,427.95 / $2,007.15	Facility		$933.56	$1,427.95	$2,007.15
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $906.16 / $1,285.76 / $1,356.75	Facility		$906.16	$1,285.76	$1,356.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $933.56 / $1,648.38 / $6,246.00	Facility		$933.56	$1,648.38	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,747.31 / $15,096.26	Facility		$8,539.09	$11,747.31	$15,096.26
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,808.64 / $17,620.97 / $22,644.39	Facility	50	$12,808.64	$17,620.97	$22,644.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00