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 $152.90 / $174.16 / $191.12	Professional		$152.90	$174.16	$191.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.90 / $195.71 / $259.20	Facility		$152.90	$195.71	$259.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.11 / $144.11 / $144.11	Professional		$144.11	$144.11	$144.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $403.80 / $3,500.00	Professional		$30.00	$403.80	$3,500.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $10,362.98 / $15,806.20 / $20,605.80	Facility		$10,362.98	$15,806.20	$20,605.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $297.29 / $352.23 / $352.23	Professional		$297.29	$352.23	$352.23
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 $178.92 / $248.50 / $381.45	Professional		$178.92	$248.50	$381.45