Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,897.00 / $4,500.00 / $7,761.00	Facility		$2,897.00	$4,500.00	$7,761.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,140.38 / $2,169.71 / $2,380.96	Professional		$2,140.38	$2,169.71	$2,380.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.47 / $2,268.80 / $3,176.17	Facility		$1,462.47	$2,268.80	$3,176.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.38 / $1,728.38 / $1,728.38	Professional		$1,728.38	$1,728.38	$1,728.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $2,326.66 / $3,500.00	Professional		$30.00	$2,326.66	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $19,831.58 / $27,841.54 / $35,402.06	Facility		$19,831.58	$27,841.54	$35,402.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $3,642.86 / $7,680.41 / $7,680.41	Professional		$3,642.86	$7,680.41	$7,680.41
United Facility/Professional Facility Modifier Low / Median / High Price $12,000.00 / $24,599.00 / $65,746.00	Facility		$12,000.00	$24,599.00	$65,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $915.82 / $1,675.74 / $2,887.49	Professional		$915.82	$1,675.74	$2,887.49