Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.43 / $7,920.26 / $20,400.00	Facility		$660.43	$7,920.26	$20,400.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,695.50 / $8,695.50 / $8,695.50	Facility	50	$8,695.50	$8,695.50	$8,695.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $658.49 / $933.65 / $1,051.20	Professional		$658.49	$933.65	$1,051.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $536.94 / $837.36 / $1,154.42	Facility		$536.94	$837.36	$1,154.42
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $578.01 / $786.00 / $822.76	Facility		$578.01	$786.00	$822.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $536.94 / $1,003.47 / $6,246.00	Facility		$536.94	$1,003.47	$6,246.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,525.75 / $15,225.66 / $19,370.28	Facility		$11,525.75	$15,225.66	$19,370.28
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $17,288.63 / $22,838.49 / $29,055.42	Facility	50	$17,288.63	$22,838.49	$29,055.42
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