Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,040.43 / $8,952.00 / $25,027.78	Facility		$2,040.43	$8,952.00	$25,027.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $32,775.12 / $32,775.12 / $32,775.12	Facility	50	$32,775.12	$32,775.12	$32,775.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.59 / $2,562.42 / $2,912.51	Professional		$1,778.59	$2,562.42	$2,912.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,658.89 / $2,238.48 / $3,566.61	Facility		$1,658.89	$2,238.48	$3,566.61
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,446.23 / $2,049.81 / $2,223.73	Facility		$1,446.23	$2,049.81	$2,223.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,658.89 / $2,587.04 / $3,566.61	Facility		$1,658.89	$2,587.04	$3,566.61
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,671.70 / $18,246.18 / $21,922.68	Facility		$13,671.70	$18,246.18	$21,922.68
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $21,406.20 / $28,674.03 / $34,789.76	Facility	50	$21,406.20	$28,674.03	$34,789.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,912.00 / $16,268.00 / $24,231.00	Facility		$2,912.00	$16,268.00	$24,231.00