Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.41 / $1,281.41 / $1,846.00	Facility		$1,281.41	$1,281.41	$1,846.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.00 / $497.00 / $816.50	Professional		$497.00	$497.00	$816.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $854.27 / $1,384.50 / $1,522.95	Facility		$854.27	$1,384.50	$1,522.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $1,420.00 / $2,556.00	Facility		$1,065.00	$1,420.00	$2,556.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,061.17 / $1,061.17 / $1,096.52	Professional		$1,061.17	$1,061.17	$1,096.52
United Facility/Professional Professional Modifier Low / Median / High Price $298.20 / $298.20 / $816.50	Professional		$298.20	$298.20	$816.50