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 $850.97 / $850.97 / $1,064.52	Professional		$850.97	$850.97	$1,064.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $850.97 / $970.08 / $1,241.70	Facility		$850.97	$970.08	$1,241.70
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 $7,334.89 / $10,854.89 / $13,325.26	Facility		$7,334.89	$10,854.89	$13,325.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,449.72 / $1,449.72 / $1,525.19	Professional		$1,449.72	$1,449.72	$1,525.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,980.00 / $10,120.00 / $27,159.00	Facility		$1,980.00	$10,120.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,053.08 / $1,313.10 / $2,106.46	Professional		$1,053.08	$1,313.10	$2,106.46