Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,230.27 / $6,606.93	Facility		$165.96	$1,230.27	$6,606.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility	50	$6,918.31	$6,918.31	$6,918.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $512.86 / $1,318.26	Professional		$134.90	$512.86	$1,318.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $660.69 / $1,737.80	Facility		$104.71	$660.69	$1,737.80
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,096.48	Facility		$707.95	$1,047.13	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $676.08 / $1,288.25	Facility		$100.00	$676.08	$1,288.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $7,762.47	Facility		$5,011.87	$6,456.54	$7,762.47
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $7,413.10 / $9,549.93 / $11,481.54	Facility	50	$7,413.10	$9,549.93	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,754.40 / $9,120.11	Facility		$1,698.24	$5,754.40	$9,120.11