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 $624.64 / $624.64 / $781.47	Professional		$624.64	$624.64	$781.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $624.64 / $712.13 / $911.53	Facility		$624.64	$712.13	$911.53
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 $376.11 / $376.11 / $395.69	Professional		$376.11	$376.11	$395.69
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 $709.15 / $995.67 / $1,381.76	Professional		$709.15	$995.67	$1,381.76