Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,230.27 / $13,182.57	Facility		$645.65	$1,230.27	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $6,309.57 / $9,549.93	Facility	50	$4,365.16	$6,309.57	$9,549.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $213.80 / $426.58 / $2,754.23	Professional	50	$213.80	$426.58	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,096.48	Professional		$630.96	$831.76	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $645.65 / $1,445.44	Facility		$416.87	$645.65	$1,445.44
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $6,309.57 / $9,549.93	Facility	50	$4,365.16	$6,309.57	$9,549.93
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $234.42 / $234.42 / $2,754.23	Professional	50	$234.42	$234.42	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $741.31 / $851.14	Facility		$537.03	$741.31	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $954.99	Facility		$389.05	$645.65	$954.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,232.93 / $12,022.64	Facility		$7,413.10	$10,232.93	$12,022.64
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,964.78 / $15,135.61 / $18,197.01	Facility	50	$10,964.78	$15,135.61	$18,197.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,000.00 / $14,454.40	Facility		$1,995.26	$10,000.00	$14,454.40