Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,570.88 / $13,182.57	Facility		$263.03	$4,570.88	$13,182.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,951.21 / $4,677.35 / $7,762.47	Facility	50	$2,951.21	$4,677.35	$7,762.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $426.58	Professional		$245.47	$316.23	$426.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $363.08 / $4,677.35	Facility		$208.93	$363.08	$4,677.35
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $0.91 / $4,677.35 / $13,803.84	Facility	50	$0.91	$4,677.35	$13,803.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $346.74 / $380.19	Facility		$295.12	$346.74	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $288.40 / $467.74	Facility		$199.53	$288.40	$467.74
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $11,481.54 / $14,125.38	Facility		$8,317.64	$11,481.54	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,302.69 / $17,378.01 / $20,892.96	Facility	50	$12,302.69	$17,378.01	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $16,218.10	Facility		$1,995.26	$10,232.93	$16,218.10