Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.15 / $1,147.42 / $7,514.08	Facility		$957.15	$1,147.42	$7,514.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,147.42 / $2,522.96 / $21,273.60	Professional		$1,147.42	$2,522.96	$21,273.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $880.58 / $1,293.77 / $7,230.97	Professional		$880.58	$1,293.77	$7,230.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.60 / $2,741.57 / $11,291.91	Facility		$633.60	$2,741.57	$11,291.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,056.40 / $1,056.40 / $1,056.40	Professional		$1,056.40	$1,056.40	$1,056.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $975.52 / $6,057.47 / $8,838.02	Facility		$975.52	$6,057.47	$8,838.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.60 / $5,252.05 / $11,727.18	Facility		$633.60	$5,252.05	$11,727.18
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $1,240.85 / $1,240.85 / $1,240.85	Facility	80	$1,240.85	$1,240.85	$1,240.85
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,054.73 / $1,054.73 / $1,054.73	Facility	AS	$1,054.73	$1,054.73	$1,054.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.74 / $4,375.07 / $9,633.86	Professional		$949.74	$4,375.07	$9,633.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $27,928.04 / $36,273.58 / $43,569.74	Facility		$27,928.04	$36,273.58	$43,569.74
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $41,892.06 / $54,410.37 / $65,354.61	Facility	50	$41,892.06	$54,410.37	$65,354.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $927.72 / $1,651.10 / $8,807.01	Professional		$927.72	$1,651.10	$8,807.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,892.02 / $8,026.25 / $10,317.45	Professional		$5,892.02	$8,026.25	$10,317.45