Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,888.44 / $13,803.84	Facility		$831.76	$5,888.44	$13,803.84
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility	50	$8,709.64	$8,709.64	$8,709.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,023.29	Professional		$588.84	$776.25	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $2,951.21	Facility		$489.78	$707.95	$2,951.21
Moda Health Facility/Professional Facility Modifier 50 Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility	50	$8,709.64	$8,709.64	$8,709.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $794.33 / $831.76	Facility		$616.60	$794.33	$831.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $602.56 / $1,023.29	Facility		$436.52	$602.56	$1,023.29
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $16,218.10 / $19,498.45	Facility		$11,481.54	$16,218.10	$19,498.45
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $17,378.01 / $24,547.09 / $29,512.09	Facility	50	$17,378.01	$24,547.09	$29,512.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $10,232.93 / $23,442.29	Facility		$1,995.26	$10,232.93	$23,442.29