Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $8,709.64 / $22,908.68	Facility		$3,235.94	$8,709.64	$22,908.68
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility	50	$21,379.62	$21,379.62	$21,379.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,467.37	Professional		$1,995.26	$2,630.27	$3,467.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,818.38 / $10,471.29	Facility		$1,513.56	$2,818.38	$10,471.29
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility	50	$21,379.62	$21,379.62	$21,379.62
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $2,951.21	Facility		$2,041.74	$2,818.38	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,467.37	Facility		$1,412.54	$2,041.74	$3,467.37
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $12,882.50 / $25,118.86	Facility		$5,128.61	$12,882.50	$25,118.86
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,762.47 / $19,498.45 / $37,153.52	Facility	50	$7,762.47	$19,498.45	$37,153.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $8,128.31 / $12,882.50	Facility		$1,995.26	$8,128.31	$12,882.50