Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,407.00 / $4,500.00 / $7,045.00	Facility		$1,407.00	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.63 / $178.03 / $287.27	Professional		$155.63	$178.03	$287.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.78 / $177.43 / $244.18	Facility		$137.78	$177.43	$244.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $3,500.00	Professional		$30.00	$30.00	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $1,016.89 / $1,451.69 / $1,937.47	Facility		$1,016.89	$1,451.69	$1,937.47
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $272.17 / $445.26 / $445.26	Professional		$272.17	$445.26	$445.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $238.77 / $324.51	Professional		$177.80	$238.77	$324.51