Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,000.00 / $4,805.00 / $6,899.00	Facility		$4,000.00	$4,805.00	$6,899.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $806.00 / $855.64 / $1,008.35	Professional		$806.00	$855.64	$1,008.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $806.00 / $993.65 / $1,176.19	Facility		$806.00	$993.65	$1,176.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.32 / $1,174.32 / $1,174.32	Professional		$1,174.32	$1,174.32	$1,174.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $1,580.81 / $3,500.00	Professional		$30.00	$1,580.81	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51,513.64 / $73,976.50 / $106,974.56	Facility		$51,513.64	$73,976.50	$106,974.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,231.81 / $1,231.81 / $1,295.42	Professional		$1,231.81	$1,231.81	$1,295.42
United Facility/Professional Facility Modifier Low / Median / High Price $14,540.00 / $49,709.00 / $50,359.00	Facility		$14,540.00	$49,709.00	$50,359.00
United Facility/Professional Professional Modifier Low / Median / High Price $757.02 / $1,179.91 / $1,940.28	Professional		$757.02	$1,179.91	$1,940.28