Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,451.58 / $7,920.26 / $15,978.56	Facility		$1,451.58	$7,920.26	$15,978.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,879.20 / $18,878.57 / $25,407.50	Facility	50	$4,879.20	$18,878.57	$25,407.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,300.90 / $1,875.63 / $2,117.48	Professional		$1,300.90	$1,875.63	$2,117.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,063.86 / $1,613.23 / $2,417.01	Facility		$1,063.86	$1,613.23	$2,417.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,067.63 / $1,490.08 / $1,628.77	Facility		$1,067.63	$1,490.08	$1,628.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,124.19 / $1,873.53 / $7,952.00	Facility		$1,124.19	$1,873.53	$7,952.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $14,761.83 / $19,243.91 / $24,411.82	Facility		$14,761.83	$19,243.91	$24,411.82
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,142.75 / $28,865.88 / $36,617.73	Facility	50	$22,142.75	$28,865.88	$36,617.73
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00