Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $13,803.84	Facility		$1,288.25	$1,995.26	$13,803.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,848.93 / $17,782.79 / $17,782.79	Facility	50	$15,848.93	$17,782.79	$17,782.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,819.70	Professional		$1,047.13	$1,348.96	$1,819.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,454.71	Facility		$870.96	$1,288.25	$2,454.71
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $15,848.93 / $17,782.79 / $24,547.09	Facility	50	$15,848.93	$17,782.79	$24,547.09
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,513.56	Facility		$1,096.48	$1,412.54	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,819.70	Facility		$741.31	$1,023.29	$1,819.70
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $17,782.79 / $21,379.62	Facility	50	$12,882.50	$17,782.79	$21,379.62
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