Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $882.32 / $7,245.50 / $15,978.56	Facility		$882.32	$7,245.50	$15,978.56
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $0.90 / $0.91 / $21,561.00	Facility	50	$0.90	$0.91	$21,561.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.27 / $1,005.74 / $1,132.35	Professional		$706.27	$1,005.74	$1,132.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $653.91 / $888.89 / $1,405.91	Facility		$653.91	$888.89	$1,405.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $584.32 / $858.94 / $890.12	Facility		$584.32	$858.94	$890.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $653.91 / $1,089.74 / $1,405.91	Facility		$653.91	$1,089.74	$1,405.91
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,334.20 / $21,141.87 / $25,621.76	Facility		$15,334.20	$21,141.87	$25,621.76
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $23,001.30 / $31,712.81 / $38,432.64	Facility	50	$23,001.30	$31,712.81	$38,432.64
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00