Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.68 / $4,962.67 / $7,920.26	Facility		$508.68	$4,962.67	$7,920.26
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,913.00 / $3,913.00 / $3,913.00	Facility	50	$3,913.00	$3,913.00	$3,913.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.97 / $1,032.84 / $2,713.75	Professional		$471.97	$1,032.84	$2,713.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $329.10 / $1,032.84 / $2,850.05	Facility		$329.10	$1,032.84	$2,850.05
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $486.50 / $1,992.42 / $2,317.28	Facility		$486.50	$1,992.42	$2,317.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.10 / $1,651.33 / $2,932.99	Facility		$329.10	$1,651.33	$2,932.99
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $6,909.34 / $10,378.18 / $13,050.49	Facility		$6,909.34	$10,378.18	$13,050.49
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $10,364.01 / $15,567.27 / $19,575.74	Facility	50	$10,364.01	$15,567.27	$19,575.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,981.00 / $9,074.00 / $12,786.00	Facility		$1,981.00	$9,074.00	$12,786.00