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 $58.08 / $65.89 / $72.31	Professional		$58.08	$65.89	$72.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.08 / $65.89 / $84.34	Facility		$58.08	$65.89	$84.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $3,500.00	Professional		$30.00	$55.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,370.62 / $11,210.07 / $14,021.70	Facility		$7,370.62	$11,210.07	$14,021.70
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $87.56 / $87.56 / $98.40	Professional		$87.56	$87.56	$98.40
United Facility/Professional Facility Modifier Low / Median / High Price $10,120.00 / $22,317.00 / $27,159.00	Facility		$10,120.00	$22,317.00	$27,159.00
United Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $47.64 / $117.15	Professional		$34.83	$47.64	$117.15