Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.48 / $4,535.00 / $13,320.00	Facility		$325.48	$4,535.00	$13,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.91 / $5,472.88 / $13,691.77	Facility	50	$0.91	$5,472.88	$13,691.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.82 / $411.01 / $462.76	Professional		$287.82	$411.01	$462.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $264.62 / $389.78 / $568.92	Facility		$264.62	$389.78	$568.92
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $274.23 / $348.46 / $389.22	Facility		$274.23	$348.46	$389.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $264.62 / $459.94 / $5,626.00	Facility		$264.62	$459.94	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,277.96 / $10,794.36 / $14,018.87	Facility		$8,277.96	$10,794.36	$14,018.87
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,416.96 / $16,191.54 / $21,028.31	Facility	50	$12,416.96	$16,191.54	$21,028.31
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