Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,128.61 / $8,709.64	Facility		$870.96	$5,128.61	$8,709.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $4,265.80 / $4,265.80	Facility	50	$2,187.76	$4,265.80	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,148.15	Professional		$691.83	$891.25	$1,148.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $7,943.28	Facility		$446.68	$870.96	$7,943.28
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $2,187.76 / $2,187.76 / $4,265.80	Facility	50	$2,187.76	$2,187.76	$4,265.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $870.96 / $912.01	Facility		$741.31	$870.96	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $630.96 / $1,122.02	Facility		$436.52	$630.96	$1,122.02
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $12,022.64 / $14,125.38	Facility		$8,511.38	$12,022.64	$14,125.38
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,882.50 / $18,197.01 / $21,379.62	Facility	50	$12,882.50	$18,197.01	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $13,182.57 / $26,302.68	Facility		$2,137.96	$13,182.57	$26,302.68