Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.91 / $7,074.00 / $20,400.00	Facility		$0.91	$7,074.00	$20,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,440.25 / $6,042.15 / $9,537.74	Facility	50	$1,440.25	$6,042.15	$9,537.74
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $233.45 / $2,745.00 / $2,745.00	Professional	50	$233.45	$2,745.00	$2,745.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $677.99 / $972.13 / $1,116.08	Professional		$677.99	$972.13	$1,116.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $429.88 / $826.22 / $1,387.57	Facility		$429.88	$826.22	$1,387.57
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $517.51 / $723.60 / $844.20	Facility		$517.51	$723.60	$844.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.46 / $945.20 / $5,626.00	Facility		$644.46	$945.20	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,382.73 / $9,212.20 / $12,052.68	Facility		$7,382.73	$9,212.20	$12,052.68
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $11,074.10 / $13,818.32 / $18,079.02	Facility	50	$11,074.10	$13,818.32	$18,079.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00