Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.00 / $4,500.00 / $7,205.00	Facility		$1,628.00	$4,500.00	$7,205.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.31 / $341.36 / $374.58	Professional		$299.31	$341.36	$374.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $299.31 / $341.36 / $444.49	Facility		$299.31	$341.36	$444.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.05 / $358.05 / $358.05	Professional		$358.05	$358.05	$358.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $481.99 / $3,500.00	Professional		$30.00	$481.99	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,132.46 / $1,579.31 / $2,026.04	Facility		$1,132.46	$1,579.31	$2,026.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $484.57 / $484.57 / $509.79	Professional		$484.57	$484.57	$509.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,620.00 / $4,150.00 / $4,441.00	Facility		$2,620.00	$4,150.00	$4,441.00
United Facility/Professional Professional Modifier Low / Median / High Price $339.92 / $477.26 / $720.75	Professional		$339.92	$477.26	$720.75