Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $13,803.84	Facility		$1,202.26	$1,737.80	$13,803.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,918.31 / $18,197.01 / $19,054.61	Facility	50	$6,918.31	$18,197.01	$19,054.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,698.24	Professional		$977.24	$1,288.25	$1,698.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $7,943.28	Facility		$758.58	$1,174.90	$7,943.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $6,918.31 / $15,135.61 / $19,054.61	Facility	50	$6,918.31	$15,135.61	$19,054.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,348.96	Facility		$954.99	$1,318.26	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $933.25 / $1,659.59	Facility		$691.83	$933.25	$1,659.59
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,791.08	Facility		$8,511.38	$12,022.64	$14,791.08
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $17,782.79 / $22,387.21	Facility	50	$12,882.50	$17,782.79	$22,387.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68