Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $6,899.00	Facility		$4,500.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,133.93 / $1,133.93 / $1,341.91	Professional		$1,133.93	$1,133.93	$1,341.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,111.19 / $1,222.80 / $1,565.18	Facility		$1,111.19	$1,222.80	$1,565.18
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 $6,631.49 / $13,737.97 / $17,393.36	Facility		$6,631.49	$13,737.97	$17,393.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,274.48 / $1,611.40 / $1,611.40	Professional		$1,274.48	$1,611.40	$1,611.40
United Facility/Professional Facility Modifier Low / Median / High Price $9,360.00 / $16,762.00 / $17,870.00	Facility		$9,360.00	$16,762.00	$17,870.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,092.11 / $1,900.79 / $2,454.98	Professional		$1,092.11	$1,900.79	$2,454.98