Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $5,519.00	Facility		$4,500.00	$4,500.00	$5,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,697.25 / $1,934.59 / $2,122.98	Professional		$1,697.25	$1,934.59	$2,122.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,697.25 / $1,934.59 / $2,476.28	Facility		$1,697.25	$1,934.59	$2,476.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.26 / $1,266.26 / $1,339.81	Professional		$1,266.26	$1,266.26	$1,339.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $78.00 / $3,900.00	Professional		$30.00	$78.00	$3,900.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $4,929.34 / $7,272.33 / $9,472.49	Facility		$4,929.34	$7,272.33	$9,472.49
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,554.19 / $1,554.19 / $2,889.17	Professional		$1,554.19	$1,554.19	$2,889.17
United Facility/Professional Facility Modifier Low / Median / High Price $5,550.00 / $12,152.00 / $12,233.00	Facility		$5,550.00	$12,152.00	$12,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,926.42 / $2,759.96 / $3,957.74	Professional		$1,926.42	$2,759.96	$3,957.74