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 $151.60 / $172.46 / $189.30	Professional		$151.60	$172.46	$189.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.60 / $172.46 / $220.75	Facility		$151.60	$172.46	$220.75
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 $7,370.62 / $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 $245.27 / $245.27 / $258.04	Professional		$245.27	$245.27	$258.04
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 $163.40 / $207.37 / $318.20	Professional		$163.40	$207.37	$318.20