Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.34 / $932.94 / $6,122.86	Facility		$775.34	$932.94	$6,122.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.94 / $2,043.00 / $15,690.40	Professional		$932.94	$2,043.00	$15,690.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.54 / $1,052.77 / $5,910.24	Professional		$716.54	$1,052.77	$5,910.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $2,240.54 / $7,952.60	Facility		$513.16	$2,240.54	$7,952.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $864.26 / $864.26 / $864.26	Professional		$864.26	$864.26	$864.26
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $795.83 / $4,640.88 / $5,956.36	Facility		$795.83	$4,640.88	$5,956.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $513.16 / $4,047.13 / $8,701.33	Facility		$513.16	$4,047.13	$8,701.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $769.56 / $3,545.63 / $7,781.65	Professional		$769.56	$3,545.63	$7,781.65
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,963.09 / $17,821.54 / $22,636.72	Facility		$13,963.09	$17,821.54	$22,636.72
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $20,944.64 / $26,732.31 / $33,955.08	Facility	50	$20,944.64	$26,732.31	$33,955.08
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $753.57 / $1,341.16 / $7,157.42	Professional		$753.57	$1,341.16	$7,157.42
United Facility/Professional Professional Modifier Low / Median / High Price $4,351.31 / $5,952.70 / $8,036.69	Professional		$4,351.31	$5,952.70	$8,036.69