Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $862.05 / $1,035.48 / $7,118.40	Facility		$862.05	$1,035.48	$7,118.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.48 / $2,271.78 / $18,681.90	Professional		$1,035.48	$2,271.78	$18,681.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.43 / $1,167.20 / $6,856.34	Professional		$794.43	$1,167.20	$6,856.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.82 / $2,597.91 / $9,660.25	Facility		$570.82	$2,597.91	$9,660.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $952.37 / $952.37 / $952.37	Professional		$952.37	$952.37	$952.37
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $872.34 / $5,381.11 / $7,260.87	Facility		$872.34	$5,381.11	$7,260.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.82 / $4,790.24 / $9,864.83	Facility		$570.82	$4,790.24	$9,864.83
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $1,000.02 / $1,000.02 / $1,000.02	Facility	AS	$1,000.02	$1,000.02	$1,000.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $854.70 / $4,148.12 / $9,079.45	Professional		$854.70	$4,148.12	$9,079.45
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 $836.44 / $1,488.64 / $8,351.27	Professional		$836.44	$1,488.64	$8,351.27
United Facility/Professional Professional Modifier Low / Median / High Price $5,175.46 / $7,543.08 / $9,377.20	Professional		$5,175.46	$7,543.08	$9,377.20