Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,280.77 / $5,116.62 / $13,746.00	Facility		$1,280.77	$5,116.62	$13,746.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,800.00 / $17,755.50 / $24,331.47	Facility	50	$15,800.00	$17,755.50	$24,331.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.46 / $1,655.91 / $1,868.19	Professional		$1,148.46	$1,655.91	$1,868.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $991.03 / $1,526.85 / $2,205.69	Facility		$991.03	$1,526.85	$2,205.69
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,078.47 / $1,399.04 / $1,524.92	Facility		$1,078.47	$1,399.04	$1,524.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $991.03 / $1,832.90 / $6,246.00	Facility		$991.03	$1,832.90	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,539.09 / $11,131.60 / $14,269.30	Facility		$8,539.09	$11,131.60	$14,269.30
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,808.64 / $16,697.40 / $21,403.95	Facility	50	$12,808.64	$16,697.40	$21,403.95
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