Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,380.38 / $15,848.93	Facility		$933.25	$1,380.38	$15,848.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $6,165.95 / $20,417.38	Facility	50	$4,168.69	$6,165.95	$20,417.38
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 $575.44 / $831.76 / $11,481.54	Facility		$575.44	$831.76	$11,481.54
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $4,168.69 / $6,165.95 / $18,197.01	Facility	50	$4,168.69	$6,165.95	$18,197.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $912.01 / $933.25	Facility		$776.25	$912.01	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $1,202.26	Facility		$467.74	$691.83	$1,202.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $21,379.62 / $25,703.96	Facility		$15,488.17	$21,379.62	$25,703.96
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $22,908.68 / $32,359.37 / $38,904.51	Facility	50	$22,908.68	$32,359.37	$38,904.51
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $30,902.95	Facility		$2,137.96	$13,182.57	$30,902.95