Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.02 / $7,074.00 / $13,320.00	Facility		$656.02	$7,074.00	$13,320.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,694.76 / $11,915.00 / $16,263.90	Facility	50	$6,694.76	$11,915.00	$16,263.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.27 / $760.56 / $856.87	Professional		$530.27	$760.56	$856.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $466.48 / $698.90 / $1,002.93	Facility		$466.48	$698.90	$1,002.93
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $456.40 / $616.72 / $662.63	Facility		$456.40	$616.72	$662.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $466.48 / $786.01 / $5,626.00	Facility		$466.48	$786.01	$5,626.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,508.06 / $10,952.22 / $13,050.49	Facility		$8,508.06	$10,952.22	$13,050.49
Regence BlueShield Facility/Professional Facility Modifier 50 Low / Median / High Price $12,762.09 / $16,428.33 / $19,575.74	Facility	50	$12,762.09	$16,428.33	$19,575.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,155.00 / $12,835.00 / $26,404.00	Facility		$2,155.00	$12,835.00	$26,404.00